Healthcare Provider Details

I. General information

NPI: 1356842744
Provider Name (Legal Business Name): ALLISON BROZENA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON SCALZO MD

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 ROGER BROOKE DR
FORT SAM HOUSTON TX
78234-4504
US

IV. Provider business mailing address

9300 DEWITT LOOP FL 2
FORT BELVOIR VA
22060-5285
US

V. Phone/Fax

Practice location:
  • Phone: 210-916-4141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0101267902
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number0101267902
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: