Individual provider Active NPI

Bruce Allen Brazinsky, D.P.M.

  • Podiatrist
  • San Diego, CA
National Provider Identifier
1215120381
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3870 Issued in CA
Practice address
6699 Alvarado Rd
Ste. 2201
San Diego, CA 92120-5253
Phone
(619) 583-8592
Fax
(619) 583-8170
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3870 CA Primary

Addresses

Primary practice location

6699 Alvarado Rd
Ste. 2201
San Diego, CA 92120-5253

Mailing address

6699 Alvarado Rd
Ste. 2201
San Diego, CA 92120-5253
Phone (619) 583-8592

Other identifiers 2

IdentifierTypeStateIssuer
000E38701MedicaidCA
480025320OtherCAMEDICARE ID TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080114000834 CA Practitioner - Podiatry 1759462997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6699 Alvarado Rd
Suite 2201
San Diego, CA 92120-5253
Phone (619) 583-8592

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.28 of 100Reported as individual
Quality
33.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue631
Removal or shaving of skin growth400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3870CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce a. Brazinsky, a Podiatry Corporation Podiatrist CurrentSince Jun 20, 1997 Accepting new patients

Locations

6699 Alvarado Rd
Ste 2201
San Diego, CA 92120
Phone (619) 583-8160

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1215120381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD",
            "address_2": "STE. 2201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205253",
            "telephone_number": "619-583-8592",
            "fax_number": "619-583-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD",
            "address_2": "STE. 2201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205253",
            "telephone_number": "619-583-8592",
            "fax_number": "619-583-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZINSKY",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38701",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "480025320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.