Individual provider Active NPI

Mark A Brzezienski, MD

  • Plastic and Reconstructive Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1487621926
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
26787 Issued in TN
Practice address
979 E 3Rd St
Suite C920
Chattanooga, TN 37403-2136
Phone
(423) 756-7134
Fax
(423) 763-4571
NPI assigned
Mar 3, 2006
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 26787 TN
Plastic and Reconstructive Surgery Physician 2086S0122X 26787 TN Primary

Addresses

Primary practice location

979 E 3Rd St
Suite C920
Chattanooga, TN 37403-2136

Mailing address

979 E 3Rd St
Suite C920
Chattanooga, TN 37403-2136
Phone (423) 756-7134

Other identifiers 14

IdentifierTypeStateIssuer
TN0109OtherTNJOHN DEERE INSURANCE
000666487EMedicaidGA
1114640001OtherTNPALMETTO DME
240004382OtherTNRAILROAD MEDICARE
PLF03906636OtherTNCHAMPUS INSURANCE
P00004138OtherGARAILROAD MEDICARE
00666487AMedicaidTN
04051010007OtherGAPALMETTO DME
1300157OtherGAUHC INSURANCE
3010836OtherTNBCBS INSURANCE
52577068004OtherGABCBS INSURANCE
GA0103OtherGAJOHN DEERE INSURANCE
1348080OtherTNUHC INSURANCE
2006636OtherTNBCBS GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060818000517 TN Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 2567465271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

901 Riverfront Pkwy
Suite 100
Chattanooga, TN 37402-2193
Phone (423) 756-7134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy30
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Plastic Surgery Group, P.C. Surgery of the Hand CurrentSince Aug 14, 1995 Accepting new patients
The Plastic Surgery Group,PC CurrentSince Aug 14, 1995 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2024 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients
The Plastic Surgery Group, P.C. (a Georgia Corporation) Past Accepting new patients
Ut Physicians Inc Past Accepting new patients

Locations

901 Riverfront Pkwy
Ste 100
Chattanooga, TN 37402
Phone (423) 763-4543

960 E 3rd St
Ste 208
Chattanooga, TN 37403
Phone (423) 778-2550

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

4472 Ellis Cir NW
Cleveland, TN 37312
Phone (423) 380-6263

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: markbrzezienskimd@psgpc.allscriptsdirect.net
  • Direct secure messaging: mbrzezienski134760@direct.stlukeshealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1487621926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "SUITE C920",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-756-7134",
            "fax_number": "423-763-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "SUITE C920",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-756-7134",
            "fax_number": "423-763-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZEZIENSKI",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TN",
            "license": "26787",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "26787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE INSURANCE",
            "identifier": "TN0109",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000666487E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DME",
            "identifier": "1114640001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240004382",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS INSURANCE",
            "identifier": "PLF03906636",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00004138",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00666487A",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DME",
            "identifier": "04051010007",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC INSURANCE",
            "identifier": "1300157",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE",
            "identifier": "3010836",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE",
            "identifier": "52577068004",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE INSURANCE",
            "identifier": "GA0103",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC INSURANCE",
            "identifier": "1348080",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "2006636",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.