Peter Brzoza, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855670 Issued in MA

Legal business name

PETER BRZOZA, LLC

Practice address

1284 Beacon Street
Apt# 202
Brookline, MA 02446

Phone

(347) 496-2087

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Peter Brzoza, DDS

Title

Owner

Phone

(347) 496-2087

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1356685275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 BEACON ST",
            "address_2": "APT# 202",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463788",
            "telephone_number": "347-496-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 BEACON STREET",
            "address_2": "APT# 202",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "347-496-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER BRZOZA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "BRZOZA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-496-2087",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personalmds, LLC
• Peter Einar Pertel, MD, MPH
• Anton L Pesok, M.D.
• John Raymond Peteet, MD
• Peter a. Weiss, DMD
• Peter Mowschenson MD
• Erika Peter-Harp
• Karen L Peterson, PH.D. (LICSW)
• Kevin L Peterson, DMD
• Kathleen A Petruska, M.D.

• General Practice Dentistry in Brookline, MA
• Providers in Brookline, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.