Organization Active NPI

Brian G. Brazzo MD P.C.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1104053263
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BRIAN G. BRAZZO MD P.C.
Practice address
201 E 79TH St
New York, NY 10075-0830
Phone
(917) 748-4542
NPI assigned
Jun 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Brian Brazzo, MD
Title
Owner
Phone
(212) 734-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

201 E 79TH St
New York, NY 10075-0830

Mailing address

201 E 79TH St
New York, NY 10075-0830
Phone (917) 748-4542

National Provider Directory

National Provider Directory
Tax ID family
Brian G Brazzo MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 E 79th St
New York, NY 10075
Phone (917) 379-9536

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1104053263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750830",
            "telephone_number": "917-748-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750830",
            "telephone_number": "917-748-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN G. BRAZZO MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "BRAZZO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-734-7788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.