Brandon Vincent Mazza

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT004358 Issued in PA

Practice address

2409 Shady Ave
Pittsburgh, PA 15217-2409

Phone

(412) 529-4800

NPI assigned

May 13, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1104448117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 HUNTING RIDGE TRL",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 SHADY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172409",
            "telephone_number": "412-529-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "BRANDON",
        "middle_name": "VINCENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MEDICINE ATHLETIC TRAINING LICENSE",
            "identifier": "RT004358",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mazzabv@upmc.edu",
            "affiliation": "N",
            "endpointDescription": "High School",
            "address_1": "2409 Shady Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152172409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mazzabv@upmc.edu",
            "affiliation": "N",
            "endpointDescription": "High School",
            "address_1": "2409 Shady Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152172409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mazzabv@upmc.edu",
            "affiliation": "N",
            "endpointDescription": "High School",
            "address_1": "2409 Shady Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152172409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cherise Ann Mazur, LSW
• Julie Lynn Mazur, CRNP
• Carla M Mazurek, PA-C
• Sherilyn A Mazurek
• Nichole Diane Mazza-Fredley, BA; M.DIV
• Sarah Jane Mazza
• Taylor Mazzaferro
• Bridget Raquel Mazzant
• Mary Frances Mazzei, PTA
• Cristina Marie Mazzocchi, PHARMD

• Athletic Trainer in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.