Individual provider Active NPI

Michele Marie Brezinski, M.D.

  • Family Medicine Physician
  • Edina, MN
National Provider Identifier
1154529139
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49389 Issued in MN
Practice address
7200 France Ave S
Suite 233
Edina, MN 55435-4300
Phone
(952) 224-0126
Fax
(952) 224-0128
NPI assigned
Jul 11, 2007
Last updated
Sep 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49389 MN Primary

Addresses

Primary practice location

7200 France Ave S
Suite 233
Edina, MN 55435-4300

Mailing address

7200 France Ave S
Suite 233
Edina, MN 55435-4300
Phone (952) 224-0126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20070827000080 MN Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Peripheral Vascular Disease 0446342117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Peripheral Vascular Disease
Education
University of Louisville School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Emergency Associates PAGroup PAC ID 8325950975, 20 clinicians

Practice addresses (Care Compare)

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 428-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Health Integrative Medical Clinic PastSince Jul 13, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michele.brezinski.1@18289.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1154529139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 FRANCE AVE S",
            "address_2": "SUITE 233",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354300",
            "telephone_number": "952-224-0126",
            "fax_number": "952-224-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 FRANCE AVE S",
            "address_2": "SUITE 233",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354300",
            "telephone_number": "952-224-0126",
            "fax_number": "952-224-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZINSKI",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "49389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.