NPIMap

Organization Active NPI

Newburgh Family Medicine, PC

  • Family Medicine Physician
  • Newburgh, IN
National Provider Identifier
1891993341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0103885 Issued in IN
Legal business name
NEWBURGH FAMILY MEDICINE, PC
Practice address
8080 High Pointe Dr
Newburgh, IN 47630-3026
Phone
(812) 490-5126
Fax
(812) 490-5127
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Judi Brezausek, MD
Title
Owner
Phone
(812) 490-5126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0103885 IN Primary

Addresses

Primary practice location

8080 High Pointe Dr
Newburgh, IN 47630-3026

Mailing address

8080 High Pointe Dr
Newburgh, IN 47630-3026
Phone (812) 490-5126

Other identifiers 1

IdentifierTypeStateIssuer
000000335542OtherINBCBS PIN NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891993341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 HIGH POINTE DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303026",
            "telephone_number": "812-490-5126",
            "fax_number": "812-490-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 HIGH POINTE DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303026",
            "telephone_number": "812-490-5126",
            "fax_number": "812-490-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURGH FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREZAUSEK",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-490-5126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "0103885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN NUMBER",
            "identifier": "000000335542",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.