Individual provider Active NPI

Brian J Mazzei, DPM

  • Foot & Ankle Surgery Podiatrist
  • Abingdon, VA
National Provider Identifier
1063496008
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
010300940 Issued in VA
Practice address
1231 W Main St
Suite 100
Abingdon, VA 24210-4705
Phone
(276) 623-0333
Fax
(276) 623-0213
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 010300940 VA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 450 TN

Addresses

Primary practice location

1231 W Main St
Suite 100
Abingdon, VA 24210-4705

Mailing address

1231 W Main St
Suite 100
Abingdon, VA 24210-4705
Phone (276) 623-0333

Other identifiers 6

IdentifierTypeStateIssuer
4350350MedicaidTN
9300732MedicaidVA
1480758OtherUMWA
118872001OtherADMINISTAR FEDERAL
118872001OtherDME
280049OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101206000762 VA Practitioner - Podiatry 3072427871
I20250905002412 PA Practitioner - Podiatry 3072427871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Cole Memorial HospitalGroup PAC ID 3779487475, 66 clinicians

Practice addresses (Care Compare)

1001 E 2ND St
Coudersport, PA 16915-8161

Hospital & facility affiliations

  • Upmc Cole Hospital, Coudersport, PA, CCN 391313

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
450TNMDFoot & Ankle Surgery Podiatrist
010300940VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Abingdon Podiatry PC Foot & Ankle Surgery CurrentSince Dec 2, 2022 Accepting new patients
Charles Cole Memorial D/B/a Upmc Cole CurrentSince May 24, 2025 Accepting new patients
Charles Cole Memorial Hospital D/B/a Upmc Cole CurrentSince May 24, 2025 Accepting new patients
Charles Cole Memorial Hopstial Foot & Ankle Surgery Past Accepting new patients
Brian Joseph Mazzei DPM and Renee Patrice Mason DPM PC Foot & Ankle Surgery PastSince Jun 8, 2009 Accepting new patients

Locations

1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407

1001 E 2nd St
Ste C
Coudersport, PA 16915

425 Shelby Ln
Bristol, TN 37620
Phone (423) 797-8080

1231 W Main St
Ste 100
Abingdon, VA 24210
Phone (276) 623-0333

Interoperability endpoints

  • Direct secure messaging: bmazzei538268@upmc.direct-ci.com
  • Direct secure messaging: brian.j.mazzei@upmcdirect.com

Organizations & group practices 6

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1063496008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242104705",
            "telephone_number": "276-623-0333",
            "fax_number": "276-623-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242104705",
            "telephone_number": "276-623-0333",
            "fax_number": "276-623-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZEI",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "010300940",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4350350",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9300732",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1480758",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR FEDERAL",
            "identifier": "118872001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "118872001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "280049",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.