Regina Marie Bruzdzinski, M.S.,P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15486 Issued in MD

Practice address

1450 Furnace Ave
Glen Burnie, MD 21060-7002

Phone

(410) 222-6911

NPI assigned

Feb 20, 2007

Sex

Female

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)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1215072046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 RIVA RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017427",
            "telephone_number": "410-222-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 FURNACE AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210607002",
            "telephone_number": "410-222-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUZDZINSKI",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.,P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0704",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nyla Mae Brown
• Rebecca MJ Brown, PSYD
• Roberta J Brown, BA, CCDC, CAC-AD
• Zora Brown
• Amber Sue Bruchalski, LPN
• Kimberly Bryan
• Charles William Bryant III III, PEER SUPPORT SPECIAL
• Sarah Bryant, RBT
• Warren L Buchalter, MD
• Brittany Shearon Buchholz, BA, MA, MHS, PA-C

• Physical Therapist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.