Individual provider Active NPI

Philip C Brzozowski, MD

  • Obstetrics & Gynecology Physician
  • Cleveland, OH
National Provider Identifier
1013023332
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-053167 Issued in OH
Practice address
9500 Euclid Ave FL 8
Cleveland, OH 44195-0001
Phone
(800) 223-2273
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-053167 OH Primary

Addresses

Primary practice location

9500 Euclid Ave FL 8
Cleveland, OH 44195-0001

Mailing address

PO Box 714328
Columbus, OH 43271-4328
Phone (800) 354-1985

Other identifiers 1

IdentifierTypeStateIssuer
0629225MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address philip.brzozowski@lhpg.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050808001308 OH Practitioner - Obstetrics/Gynecology 5799714903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Pennsylvania State University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-053167OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc CurrentSince May 23, 2007 Accepting new patients
Lake Hospital System, Inc. CurrentSince May 23, 2007 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 22, 2022 Accepting new patients
Lake Hospital System Inc Obstetrics & Gynecology Current Accepting new patients
University Hospitals Medical Group, Inc Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

9500 Euclid Ave
Fl 8
Cleveland, OH 44195

5172 Leavitt Rd
Lorain, OH 44053
Phone (440) 282-7420

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

5105 Som Center Rd
Ste 201
Willoughby, OH 44094
Phone (440) 602-6710

36001 Euclid Ave
#C7
Willoughby, OH 44094
Phone (440) 602-6710

36100 Euclid Ave
Ste 240
Willoughby, OH 44094
Phone (216) 953-6294

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • KY PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • KY PPO C-SNP
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8

Organizations & group practices 7

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 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1013023332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714328",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432714328",
            "telephone_number": "800-354-1985",
            "fax_number": "440-350-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE FL 8",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "800-223-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZOZOWSKI",
        "first_name": "PHILIP",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-053167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0629225",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.brzozowski@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "5105 SOM Center Road",
            "address_2": "Suite 201",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.