Brian T Przystawski, DPM, PCS

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

Organization subpart

No

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

Authorized official

Name

Dr. Brian T Przystawski, DPM

Title

Owner

Phone

(502) 895-3840

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chester Arnold Nava Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
  • NPI 1760480818
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80900202",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50003493",
            "state": "KY"
        }
    ],
    "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": []
}

• Brian a. Marrillia DMD, PSC
• Brian Anderson, DC, LLC
• Brian J Vanderploeg, OD, PLLC
• Brian McLean, PLLC
• Brian S Yost, PLLC
• Ann M Brian, PH.D.
• Austin Brian, OD
• Eric Sebastian Brian
• Timothy Brady Brian, RPH
• Brice Child and Family Counseling LLC

• Foot & Ankle Surgery Podiatrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Foot & Ankle Surgery Podiatrist in Kentucky

• 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.