Individual provider Active NPI

Edward Sharp Brezina Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Wilson, NC
National Provider Identifier
1245216944
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25229 Issued in NC
Practice address
2500 Horton Blvd SW
Wilson, NC 27893-4444
Phone
(252) 206-1000
Fax
(252) 237-7284
NPI assigned
Dec 15, 2005
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25229 NC Primary

Addresses

Primary practice location

2500 Horton Blvd SW
Wilson, NC 27893-4444

Mailing address

2500 Horton Blvd SW
Wilson, NC 27893-4444
Phone (252) 206-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25229NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1245216944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HORTON BLVD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934444",
            "telephone_number": "252-206-1000",
            "fax_number": "252-237-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HORTON BLVD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934444",
            "telephone_number": "252-206-1000",
            "fax_number": "252-237-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZINA",
        "first_name": "EDWARD",
        "middle_name": "SHARP",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "25229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.