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1013914969

NPI Code Detail

MEDICARE: DR. KURT EDWARD BRZEZINSKI D.C.

MEDICARE: DR. KURT EDWARD BRZEZINSKI D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC004919L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	350040273	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2135611	OTHER		MAMSI
2	951457	OTHER		HIGHMARK BLUE SHIELD
3	02212501	OTHER		CAPITAL BLUE CROSS
4	0368085000	OTHER		AMERIHEALTH
5	0368085000	OTHER		KEYSTONE HEALTH EAST
6	P911006	OTHER		OXFORD HEALTH PLANS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	1987212	OTHER		PRIVATE HEALTHCARE SYSTEM
10	02212501	OTHER		KEYSTONE HEATLH CENTRAL
11	2128624	OTHER		UNITED HEALTHCARE
12	417611	OTHER		HEALTHAMERICA/HEALTHASSUR
13	0368085000	OTHER		INDEPENDENCE BLUE CROSS
14	813441	OTHER		AETNA PPO
15	9277828	OTHER		CIGNA HEALTHCARE

General Provider Information

NPI Number	:	1013914969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KURT EDWARD BRZEZINSKI D.C.

Provider Business Mailing Address
First Line	:	2775 SCHOENERSVILLE RD
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-7307
Country	:	US
Telephone Number	:	610-861-8080
Fax Number	:	610-807-0366

Provider Business Practice Location Address
First Line	:	2775 SCHOENERSVILLE RD
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-7307
Country	:	US
Telephone Number	:	610-861-8080
Fax Number	:	610-807-0366

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	05/11/2012

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Directions to “ DR. KURT EDWARD BRZEZINSKI D.C.” Practice Location

Language	Start Address	Practice Location

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