Individual provider Active NPI

Michael Brywka III, DO

  • Anesthesiology Physician
  • El Paso, TX
National Provider Identifier
1487655353
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H0065941 Issued in MD
Practice address
415 E Yandell Dr
Suite B
El Paso, TX 79902-5208
Phone
(915) 577-0030
Fax
(915) 533-2568
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L8292 TX
Anesthesiology Physician 207L00000X MD21921 MD
Anesthesiology Physician 207L00000X H0065941 MD Primary

Addresses

Primary practice location

415 E Yandell Dr
Suite B
El Paso, TX 79902-5208

Mailing address

PO Box 3899
El Paso, TX 79923-3899
Phone (915) 577-0030

Other identifiers 2

IdentifierTypeStateIssuer
168837601MedicaidTX
L0133450OtherTXDPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070924000717 MD Practitioner - Anesthesiology 7214991538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Maryland LLCGroup PAC ID 1850283144, 47 clinicians

Practice addresses (Care Compare)

12500 Willowbrook Rd
Western Maryland Health System
Cumberland, MD 21502-6393
Phone (240) 964-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0065941MDMDAnesthesiology Physician
MD21921MDMDAnesthesiology Physician
L8292TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Aug 1, 2007 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Oct 16, 2021 Accepting new patients
Union Hospital of Cecil County Health Services, Inc CurrentSince Jan 1, 2013 Accepting new patients
El Paso Anesthesiology Services PA Anesthesiology Past Accepting new patients
El Paso Anesthesiology, P.a. Anesthesiology Past Accepting new patients
West Texas Obstetrical Anesthesia PLLC Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

123 Singerly Ave
Elkton, MD 21921
Phone (410) 392-2686

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1487655353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3899",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799233899",
            "telephone_number": "915-577-0030",
            "fax_number": "915-533-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E YANDELL DR",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025208",
            "telephone_number": "915-577-0030",
            "fax_number": "915-533-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYWKA",
        "first_name": "MICHAEL",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L8292",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "MD21921",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "H0065941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168837601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "L0133450",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.