Brian E. Bozelka, MD SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BRIAN E. BOZELKA, MD SC

Practice address

1400 University Dr
Marinette, WI 54143-5105

Phone

(715) 732-4181

NPI assigned

Oct 3, 2007

Organization subpart

No

Name

Dr. Brian E Bozelka, MD PHD

Title

Owner

Phone

(715) 732-4181

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Corgan, O.D.

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

Locations

• Bay View Ophthalmology Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2007.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32039400",
            "state": "WI"
        }
    ],
    "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

• All providers in Marinette, WI
• 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.