Organization Active NPI

Brian T Przystawski, DPM, PCS

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1164512612
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
BRIAN T PRZYSTAWSKI, DPM, PCS
Practice address
4119 Browns Lane
BLD#2
Louisville, KY 40220
Phone
(502) 895-3840
Fax
(502) 897-3642
NPI assigned
Oct 13, 2006
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Dr. Brian T Przystawski, DPMNPI 1982689949
Title
Owner
Phone
(502) 895-3840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X KY Primary

Addresses

Primary practice location

4119 Browns Lane
BLD#2
Louisville, KY 40220

Mailing address

PO Box 708
Prospect, KY 40059-0708
Phone (502) 454-4187

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL

National Provider Directory

National Provider Directory

Locations

3020 Charlestown Xing
New Albany, IN 47150
Phone (812) 948-0211

117 S Hubbards Ln
Ste 102
Louisville, KY 40207
Phone (502) 895-3840

3600 Dutchmans Ln
Louisville, KY 40205

4119 Browns Ln
Louisville, KY 40220
Phone (502) 451-9296

4119 Browns Ln
Ste 2A
Louisville, KY 40220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1164512612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400590708",
            "telephone_number": "502-454-4187",
            "fax_number": "502-454-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 BROWNS LANE",
            "address_2": "BLD#2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40220",
            "telephone_number": "502-895-3840",
            "fax_number": "502-897-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN T PRZYSTAWSKI, DPM, PCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "PRZYSTAWSKI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-895-3840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "4119 Browns Lane",
            "address_2": "Bld#2",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.