Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Lee Blalock, MD

Individual provider Neurological Surgery Physician · NPI 1164117768

Jonathan Lee Blalock, MD is a Neurological Surgery Physician in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Uw Hospital & Clinics 600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 236-6400
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Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 100173851 (WI)

Record details

NPI number1164117768
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing addressUw Hospital & Clinics, 600 Highland Ave, Madison, WI 53792-0001

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