Active NPI
Jason Alexander Brustein, D.O.
- Orthopaedic Surgery Physician
- McDonough, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 85137
- Practice address
- 105 Regency Park Dr
McDonough, GA 30253-6649 - Phone
- (770) 506-4119
- Fax
- (770) 506-4145
- NPI assigned
- Jul 2, 2014
- Last updated
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 85137 | GA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | OT015677 | PA |
Addresses
Primary practice location
105 Regency Park Dr
McDonough, GA 30253-6649
Mailing address
105 Regency Park Dr
McDonough, GA 30253-6649
Phone (770) 506-4119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Matrix Rehabilitation-Georgia Inc
Practice addresses (Care Compare)
1336 Hwy 54 W
BLDG 400 Suite C
Fayetteville, GA 30214-4574
Phone (770) 461-6142
1585 N Expressway
Griffin, GA 30223-1746
Phone (770) 227-7050
2041 Mesa Valley Way
Suite 100
Austell, GA 30106-6856
234 Jonesboro Rd
McDonough, GA 30253-3720
Phone (770) 954-9631
2712 N Decatur Rd
Decatur, GA 30033-5910
Phone (770) 491-3003
3885 Princeton Lakes Way SW
Suite 310
Atlanta, GA 30331-7100
Phone (470) 773-6710
5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342-5022
5671 Peachtree Dunwoody Rd NE
Suite 900 950
Atlanta, GA 30342-5022
Phone (404) 847-9999
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 15 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85137 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Resurgens, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
3885 Princeton Lakes Way SW
Ste 310
Atlanta, GA 30331
Phone (404) 346-9233
1336 Highway 54 W
Bldg 400
Fayetteville, GA 30214
Phone (770) 461-1238
1336 Highway 54 W
Bldg 500
Fayetteville, GA 30214
Phone (770) 461-1238
1585 N Expressway
Griffin, GA 30223
Phone (770) 227-7050
105 Regency Park Dr
McDonough, GA 30253
Phone (770) 506-4119
156 Foster Dr
Ste B
McDonough, GA 30253
Phone (770) 506-4119
2301 Newnan Crossing Blvd E
Ste 100
Newnan, GA 30265
Phone (678) 333-6600
5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732
5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590
Interoperability endpoints
- jason.brustein.1@15749.direct.athenahealth.com
- jason.brustein.1@19873.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Resurgens Orthopaedics
- Orthopaedic Surgery Physician
- Braselton, GA
- NPI 1033919790
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Fayette Hospital
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1629484340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 REGENCY PARK DR",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302536649",
"telephone_number": "770-506-4119",
"fax_number": "770-506-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 REGENCY PARK DR",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302536649",
"telephone_number": "770-506-4119",
"fax_number": "770-506-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSTEIN",
"first_name": "JASON",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-02",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "85137",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "OT015677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.