Grzegorz Krzysztof Brzezicki, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME130734 Issued in FL

Practice address

3627 University Blvd S Ste 415
Jacksonville, FL 32216-4299

Phone

(904) 296-2522

Fax

(904) 296-8173

NPI assigned

Jun 10, 2010

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in FL, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Neurosurgery

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Neurosurgery Group LLCGroup PAC ID 9537261185, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
• Memorial Satilla Health Hospital, Waycross, GA, CCN 110003

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grzegorz.brzezicki@hca5.eclinicaldirectplus.com

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

• Memorial Neurosurgery Group LLC

  dba Memorial Neuroscience Center

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1487860284
  Medicare reassignment Care Compare group NPD
• University of Florida Jacksonville Physicians, Inc.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144276452
  Medicare reassignment NPD
• Memorial Neurosurgery Group LLC

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1811927650
  NPD
• University of Florida Jacksonville Physicians Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1225298599
  NPD
• University of Florida Jacksonville Physicians, Inc.

  dba UF Health Imaging Center-Baymeadows

  • Physiological Laboratory
  • Jacksonville, FL
  • NPI 1831800952
  NPD

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

• Memorial Healthcare Group Inc

  dba HCA Florida Memorial Hospital

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1447206438
  Care Compare affiliation
• Southeast Georgia Health Services, L.L.C.

  dba Memorial Satilla Health

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1922530468
  Care Compare affiliation

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1255651394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 415",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164299",
            "telephone_number": "904-296-2522",
            "fax_number": "904-296-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 415",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164299",
            "telephone_number": "904-296-2522",
            "fax_number": "904-296-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZEZICKI",
        "first_name": "GRZEGORZ",
        "middle_name": "KRZYSZTOF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME130734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryants Bloomers Inc
• Julianne Bryce
• Melanie Bryce, APRN
• Anne Elizabeth Brysch, RBT
• Robert B Bryskin, MD
• BSRS Jacksonville LLC
• Lori Leah Bubenheimer, AUD
• Katie Bucchin, MS
• Larissa Sarah Buccolo, M.D.
• Rebecca Buch, MS

• Neurological Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.