Active NPI
Diane Brzezinski DO PA
- Internal Medicine Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS7847
- Legal business name
- DIANE BRZEZINSKI DO PA
- Practice address
- 1250 Pine Ridge Rd Ste 101a
Naples, FL 34108-8913 - Phone
- (239) 261-9990
- Fax
- (239) 261-9993
- NPI assigned
- Oct 22, 2007
- Last updated
- Jul 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diane J Brzezinski, DO
- Title
- Owner
- Phone
- (239) 261-9990
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS7847 | FL | Primary |
Addresses
Primary practice location
1250 Pine Ridge Rd Ste 101a
Naples, FL 34108-8913
Mailing address
1250 Pine Ridge Rd Ste 101a
Naples, FL 34108-8913
Phone (239) 261-9990
Other practice location 1
311 9th St N Ste 310
Naples, FL 34102-5889
Phone (239) 261-9990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447301544 | Other | FL | IND NPI |
| 1447301544 | Other | FL | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1250 Pine Ridge Rd
Ste 101A
Naples, FL 34108
Phone (239) 261-9990
Interoperability endpoints
- https://api.platform.athenahealth.com/7883/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Internal Medicine Physician
- Naples, FL
- NPI 1447301544
-
- Internal Medicine Physician
- Naples, FL
- NPI 1053872077
-
- Family Nurse Practitioner
- Naples, FL
- NPI 1376582247
-
- Endocrinology, Diabetes & Metabolism Physician
- Naples, FL
- NPI 1205865862
Internal Medicine
-
- Adult Health Nurse Practitioner
- Naples, FL
- NPI 1659662666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625529600000",
"number": "1730378175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 PINE RIDGE RD STE 101A",
"city": "NAPLES",
"state": "FL",
"postal_code": "341088913",
"telephone_number": "239-261-9990",
"fax_number": "239-261-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 PINE RIDGE RD STE 101A",
"city": "NAPLES",
"state": "FL",
"postal_code": "341088913",
"telephone_number": "239-261-9990",
"fax_number": "239-261-9993"
}
],
"practiceLocations": [
{
"address_1": "311 9th St N Ste 310",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341025889",
"country_code": "US",
"telephone_number": "239-261-9990",
"fax_number": "239-261-9993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DIANE BRZEZINSKI DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-22",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A",
"authorized_official_last_name": "BRZEZINSKI",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-261-9990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS7847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND NPI",
"identifier": "1447301544",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1447301544",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.