Individual provider Active NPI

Michael Anthony Brusco, M.D.

  • Ophthalmology Physician
  • Falls Church, VA
National Provider Identifier
1568626208
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101258561 Issued in VA
Practice address
3120 Fairview Park Dr Ste 100
Falls Church, VA 22042-4570
Phone
(571) 755-2020
Fax
(276) 209-5733
NPI assigned
Jul 11, 2008
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101258561 VA Primary

Addresses

Primary practice location

3120 Fairview Park Dr Ste 100
Falls Church, VA 22042-4570

Mailing address

3120 Fairview Park Dr Ste 100
Falls Church, VA 22042-4570
Phone (571) 755-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101258561VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brusco Vision LLC Ophthalmology CurrentSince Feb 24, 2022 Accepting new patients

Locations

3120 Fairview Park Dr
Ste 100
Falls Church, VA 22042
Phone (201) 921-4567

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1568626208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 FAIRVIEW PARK DR STE 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220424570",
            "telephone_number": "571-755-2020",
            "fax_number": "276-209-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 FAIRVIEW PARK DR STE 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220424570",
            "telephone_number": "571-755-2020",
            "fax_number": "276-209-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSCO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101258561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.