Jacob C Brezinsky, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00205237 Issued in CO

Practice address

9225 Doerr Rd BLDG 1220
Fort Belvoir, VA 22060-2204

Phone

(571) 231-6005

NPI assigned

Jul 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1285360925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 DOERR RD BLDG 1220",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602204",
            "telephone_number": "571-231-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 DOERR RD BLDG 1220",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602204",
            "telephone_number": "571-231-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZINSKY",
        "first_name": "JACOB",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "teresa.r.contreras.civ@mail.mil",
            "affiliation": "N",
            "endpointDescription": "Credentials Officer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7223 Mississippi Ave",
            "address_2": "Bldg 1561",
            "city": "APO",
            "state": "AA",
            "country_code": "US",
            "postal_code": "71459",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "other_names": []
}

• Christine Brady, PSYD
• Benjamin Bray, COTA/L
• Jamielou Custodio Breckenridge, MD
• Bonnie L. Breneman, RNC/WHNP
• Conchetta Vinson Brevard, RDH
• Nancy Dee Briggs, MC
• Laura Josefina Brito, LCSW
• Michael Alan Brooks, D.O.
• Miles Brooks, DO
• William Theodore Brooks IV, MD

• Dentist in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.