Individual provider Active NPI

Daniel Alfred Brzusek, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bellevue, WA
National Provider Identifier
1780653303
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
OP00000727 Issued in WA
Practice address
1600 116TH Ave NE
Suite 202
Bellevue, WA 98004-3056
Phone
(425) 453-1000
Fax
(425) 454-3590
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X OP00000727 WA Primary

Addresses

Primary practice location

1600 116TH Ave NE
Suite 202
Bellevue, WA 98004-3056

Mailing address

1600 116TH Ave NE
Suite 202
Bellevue, WA 98004-3056
Phone (425) 453-1000

Other identifiers 1

IdentifierTypeStateIssuer
0033221OtherWAL&I NUMBER

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)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780653303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE",
            "address_2": "SUITE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043056",
            "telephone_number": "425-453-1000",
            "fax_number": "425-454-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE",
            "address_2": "SUITE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043056",
            "telephone_number": "425-453-1000",
            "fax_number": "425-454-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZUSEK",
        "first_name": "DANIEL",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "WA",
            "license": "OP00000727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I NUMBER",
            "identifier": "0033221",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.