NPIMap

Organization Active NPI

Powell Family Medicine, Inc

  • Family Medicine Physician
  • Powell, OH
National Provider Identifier
1285820977
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35081093 Issued in OH
Legal business name
POWELL FAMILY MEDICINE, INC
Practice address
10330 Sawmill Pkwy
Suite 400
Powell, OH 43065-7790
Phone
(614) 766-4900
Fax
(614) 766-4984
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Dr. Steven F Brezny, MDNPI 1063406106
Title
President
Phone
(614) 766-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35081093 OH Primary

Addresses

Primary practice location

10330 Sawmill Pkwy
Suite 400
Powell, OH 43065-7790

Mailing address

10330 Sawmill Pkwy
Suite 400
Powell, OH 43065-7790
Phone (614) 766-4900

Other identifiers 2

IdentifierTypeStateIssuer
2351940MedicaidOH
PO9327821OtherOHMEDICARE ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1285820977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 SAWMILL PKWY",
            "address_2": "SUITE 400",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657790",
            "telephone_number": "614-766-4900",
            "fax_number": "614-766-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SAWMILL PKWY",
            "address_2": "SUITE 400",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657790",
            "telephone_number": "614-766-4900",
            "fax_number": "614-766-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "BREZNY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-766-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35081093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351940",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "PO9327821",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.