Bruce a. Brazinsky, a Podiatry Corporation

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3870 Issued in CA

Legal business name

BRUCE A. BRAZINSKY, A PODIATRY CORPORATION

Practice address

6699 Alvarado Rd
Ste 2201
San Diego, CA 92120-5253

Phone

(619) 583-8592

Fax

(619) 583-8170

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Allen Brazinsky, DPMNPI 1215120381

Title

Podiatrist/Owner

Phone

(619) 583-8592

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bruce A. Brazinsky, DPM Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Bruce Allen Brazinsky, D.P.M.

  • Podiatrist
  • San Diego, CA
  • NPI 1215120381
  Medicare reassignment NPD Authorized official
• Donald Triolo, D.P.M.

  • Podiatrist
  • San Diego, CA
  • NPI 1003813783
  NPD (past)
• Sharon Ann Colica, D.P.M.

  • Podiatrist
  • Las Vegas, NV
  • NPI 1639116841
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1396741997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD",
            "address_2": "STE 2201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205253",
            "telephone_number": "619-583-8592",
            "fax_number": "619-583-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD",
            "address_2": "STE 2201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205253",
            "telephone_number": "619-583-8592",
            "fax_number": "619-583-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. BRAZINSKY, A PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-03-07",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "BRAZINSKY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "619-583-8592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38701",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480025320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce A. Brazinsky, DPM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bruce A. Brazinsky, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Victoria Bruaski
• Aleah Lin Brubaker, MD/PHD
• McQuade Nicholas Brubaker, PA
• Patricia Sue Brubaker, RN
• Kaitlyn Bruccheri, AU.D.
• Bruce E. Blakely, D.C., a Medical Corporation
• Bruce R. Brumm, D.D.S., Inc.
• Bruce Sahba MD a Medical Corporation
• Nathaniel Bruce-Black, HAD
• Angelea Marie Bruce, RD

• Podiatrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.