Jonathon Walter Brezenski, DPT, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2371 Issued in NE

Practice address

3100 23Rd St
Suite 15
Columbus, NE 68601-3161

Phone

(402) 562-7346

Fax

(402) 562-8331

NPI assigned

Jun 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Columbus Community Hospital Inc

  dba Columbus Dermatology Clinic

  • Dermatology Physician
  • Columbus, NE
  • NPI 1881370476
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730386103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 43RD AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012931",
            "telephone_number": "402-563-2065",
            "fax_number": "402-562-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 23RD ST",
            "address_2": "SUITE 15",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013161",
            "telephone_number": "402-562-7346",
            "fax_number": "402-562-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZENSKI",
        "first_name": "JONATHON",
        "middle_name": "WALTER",
        "credential": "DPT, PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly D. Brandt, PT
• Mark Alan Brandt, P.T.
• Jeannette M Braun
• Deborah Kay Bremer
• Carey Lynn Breuer
• Nancy Briggs, M.S., CCC-SLP
• Sonja Renee Brockman
• Sharon Brown, MS, SLP-CCC
• Simon Brummond, PLMHP
• Jonathan Brunott, CRNA

• Physical Therapist in Columbus, NE
• Providers in Columbus, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.