Individual provider Active NPI

Bryan Reshawn Trusell

  • Ophthalmic Technician/Technologist
  • Brooklyn, NY
National Provider Identifier
1952946626
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
010220 Issued in NY
Practice address
252 Java St Ste 222
Brooklyn, NY 11222-5598
Phone
(347) 922-4836
NPI assigned
Nov 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/Technologist 156FX1100X 010220 NY Primary

Addresses

Primary practice location

252 Java St Ste 222
Brooklyn, NY 11222-5598

Mailing address

252 Java St Ste 222
Brooklyn, NY 11222-5598

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010220NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Specs on Site CurrentSince Dec 29, 2019 Accepting new patients

Locations

252 Java St
Ste 222
Brooklyn, NY 11222
Phone (347) 208-2270

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1952946626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 JAVA ST STE 222",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 JAVA ST STE 222",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225598",
            "telephone_number": "347-922-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSELL",
        "first_name": "BRYAN",
        "middle_name": "RESHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-16",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NY",
            "license": "010220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.