Anita E. Brzowski, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

3773171205 Issued in UT

Practice address

4403 Harrison Blvd Ste 4600
Ogden, UT 84403-3293

Phone

(801) 387-4714

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356420574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 WASATCH DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031401",
            "telephone_number": "801-479-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD STE 4600",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033293",
            "telephone_number": "801-387-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZOWSKI",
        "first_name": "ANITA",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "3773171205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Helen Louise Brunson, LCSW
• Charlie Ed Brunson Jr., MD
• Brittany Bryan
• Donald William Bryan, MD
• Bryson S. Smith, MD, PC
• Brian Keith Brzowski, MD
• BSP Utah, PLLC
• Michael H Buch, MD
• Alyssa Buchhammer, RN
• Felicia Buck

• Pediatrics Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.