Joseph H Brezin, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD014941E Issued in PA

Practice address

235 N Broad St
Suite 200 Clinical Nephrology Associates
Philadelphia, PA 19107-1511

Phone

(215) 762-7785

Fax

(215) 568-6007

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1154417541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N BROAD ST",
            "address_2": "SUITE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071511",
            "telephone_number": "215-762-7785",
            "fax_number": "215-568-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N BROAD ST",
            "address_2": "SUITE 200 CLINICAL NEPHROLOGY ASSOCIATES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071511",
            "telephone_number": "215-762-7785",
            "fax_number": "215-568-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZIN",
        "first_name": "JOSEPH",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD014941E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000690842",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brewerytown RX Inc
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• Zachary William Brewster, DO
• Jennifer Sarah Brey
• Garrett Michael Breyer
• Kara Breznak, PA
• Doven Brezner, LCSW
• Brian Burman, LLC
• Brian C Melley, D.P.M.
• Brian Daly, LPC

• Nephrology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.