Brian E. Bozelka, MD SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BRIAN E. BOZELKA, MD SC

Doing business as

Bay View Ophthalmology

Practice address

1400 University Dr
Marinette, WI 54143-5105

Phone

(715) 732-4181

NPI assigned

Oct 3, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian E Bozelka, MD PHDNPI 1003981994

Title

Owner

Phone

(715) 732-4181

Specialties & licenses 1

Addresses

Other names 1

• Bay View Ophthalmology Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian E Bozelka, MD PHD

  • Ophthalmology Physician
  • Marinette, WI
  • NPI 1003981994
  Authorized official Same address or phone
• Timothy Corgan, O.D.

  • Optometrist
  • Marinette, WI
  • NPI 1790731743
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1659568657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 UNIVERSITY DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541435105",
            "telephone_number": "715-732-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 UNIVERSITY DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541435105",
            "telephone_number": "715-732-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN E. BOZELKA, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "BOZELKA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-732-4181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay View Ophthalmology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elizabeth Brandner, LCSW
• Kathy Ann Brattain, APNP
• Breanna Marie Braun, MA, LAT
• Candace T Breault, LCSW
• Ashley T Bretl, D-PT
• John P Briody, M.D., SC
• Leigh Brooks, OTR
• Taylor Brostowitz, FNP
• Christy Ann Brown, APNP
• Jacqueline Brown, RN

• Ophthalmology Physician in Marinette, WI
• Providers in Marinette, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.