Marcel Brysk, M.D.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

C32654 Issued in CA

Practice address

4269 Hawk St
San Diego, CA 92103-1316

Phone

(858) 717-7707

NPI assigned

Sep 2, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174625982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4269 HAWK ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031316",
            "telephone_number": "858-717-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4269 HAWK ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031316",
            "telephone_number": "858-717-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYSK",
        "first_name": "MARCEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "C32654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinessa Suzette Bryant, LVN
• Richard Keith Bryce, D.O.
• Joy Lynne Brychta, RN, NP
• Allison Diane Bryden
• Amy Williams Bryl, MD
• Michael Delton Bryson Jr., IDC
• Pamela C Bryson, NP
• Samantha Bryson
• Stephani Bryson
• Timothy C Bryson Jr.

• Preventive Medicine/Occupational Environmental Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.