NPIMap

Organization Active NPI

Brian Joseph Mazzei DPM and Renee Patrice Mason DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Abingdon, VA
National Provider Identifier
1720065469
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
010300940 Issued in VA
Legal business name
BRIAN JOSEPH MAZZEI DPM AND RENEE PATRICE MASON DPM PC
Practice address
1231 W Main St
Suite 100
Abingdon, VA 24210-4705
Phone
(276) 623-0333
Fax
(237) 623-0213
NPI assigned
Dec 23, 2005
Last updated
Jun 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Dr. Brian J Mazzei, DPMNPI 1063496008
Title
Vice President
Phone
(276) 623-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X C10300942 VA
Foot & Ankle Surgery Podiatrist 213ES0103X 010300940 VA Primary

Addresses

Primary practice location

1231 W Main St
Suite 100
Abingdon, VA 24210-4705

Mailing address

1231 W Main St
Suite 100
Abingdon, VA 24210-4705
Phone (276) 623-0333

Other identifiers 1

IdentifierTypeStateIssuer
009302123MedicaidVA

National Provider Directory

National Provider Directory

Locations

1231 W Main St
#100
Abingdon, VA 24210
Phone (276) 623-0333

793 W Main St
Ste 11
Abingdon, VA 24210
Phone (540) 623-0333

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1720065469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242104705",
            "telephone_number": "276-623-0333",
            "fax_number": "237-623-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242104705",
            "telephone_number": "276-623-0333",
            "fax_number": "237-623-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN JOSEPH MAZZEI DPM AND RENEE PATRICE MASON DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "MAZZEI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "276-623-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "C10300942",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "010300940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009302123",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.