Individual provider Active NPI

Brian Paul Bezak, D.C.

  • Chiropractor
  • Greenbelt, MD
National Provider Identifier
1699867416
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03466 Issued in MD
Practice address
7500 Hanover Pkwy Ste 102
Greenbelt, MD 20770-2011
Phone
(301) 220-0496
Fax
(301) 220-2303
NPI assigned
Sep 29, 2006
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X S03466 MD
Chiropractor 111N00000X S03466 MD Primary

Addresses

Primary practice location

7500 Hanover Pkwy Ste 102
Greenbelt, MD 20770-2011

Mailing address

7500 Hanover Pkwy Ste 102
Greenbelt, MD 20770-2011
Phone (301) 220-0496

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S03466MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bezak Chiropractic and Rehabilitation, P.a. Chiropractor CurrentSince Aug 11, 2019 Accepting new patients

Locations

7415 Greenbelt Rd
Greenbelt, MD 20770
Phone (301) 220-0496

7500 Hanover Pkwy
Ste 102
Greenbelt, MD 20770
Phone (301) 220-0496

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1699867416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY STE 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702011",
            "telephone_number": "301-220-0496",
            "fax_number": "301-220-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY STE 102",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702011",
            "telephone_number": "301-220-0496",
            "fax_number": "301-220-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZAK",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "S03466",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.