Individual provider Active NPI

Vladislav Korenblit, DO

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1134749591
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS21118 Issued in FL
Practice address
841 Prudential Dr FL 10
Jacksonville, FL 32207-8329
Phone
(904) 398-5404
Fax
(904) 391-5545
NPI assigned
Apr 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS21118 FL Primary

Addresses

Primary practice location

841 Prudential Dr FL 10
Jacksonville, FL 32207-8329

Mailing address

PO Box 746649
Atlanta, GA 30374-6649
Phone (904) 202-2092

Other practice location 1

1370 13th Ave S Ste 118
Jacksonville Beach, FL 32250-3206
Phone (904) 398-5407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627000367 FL Practitioner - Neurology 9234559220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Nova Southeastern College of Osteo Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Neurology IncGroup PAC ID 0345366704, 47 clinicians

Practice addresses (Care Compare)

841 Prudential Dr
Jacksonville, FL 32207-8329
Phone (904) 398-5404

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS21118FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Neurology Inc Neurology CurrentSince Aug 18, 2025 Accepting new patients
Baptist Neurology Inc Neurology CurrentSince Aug 18, 2025 Accepting new patients

Locations

841 Prudential Dr
Fl 10
Jacksonville, FL 32207
Phone (904) 398-5404

1370 13th Ave S
Ste 118
Jacksonville Beach, FL 32250
Phone (904) 247-1456

1370 13th Ave S
Ste 214
Jax Bch, FL 32250
Phone (904) 398-3888

1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041

Interoperability endpoints

  • Direct secure messaging: vkorenblit315054@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1134749591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746649",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746649",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR FL 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "904-398-5404",
            "fax_number": "904-391-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 13th Ave S Ste 118",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322503206",
            "country_code": "US",
            "telephone_number": "904-398-5407",
            "fax_number": "904-391-5779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORENBLIT",
        "first_name": "VLADISLAV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-25",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS21118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.