Island Cardiology, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

218894 Issued in NC

Legal business name

ISLAND CARDIOLOGY, PLLC

Practice address

1328 Lake Park Blvd N
Suite 103
Carolina Beach, NC 28428-3935

Phone

(910) 262-6300

NPI assigned

May 5, 2016

Organization subpart

No

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

Authorized official

Name

Damian A Brezinski, MDNPI 1740395029

Title

Owner

Phone

(910) 262-6300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Damian Brezinski, MD

  • Interventional Cardiology Physician
  • Carolina Beach, NC
  • NPI 1740395029

  NC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1477909778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 LAKE PARK BLVD N",
            "address_2": "SUITE 103",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283935",
            "telephone_number": "910-262-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 LAKE PARK BLVD N",
            "address_2": "SUITE 103",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283935",
            "telephone_number": "910-262-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "BREZINSKI",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-262-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "218894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Carolina Beach, NC
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.