MEDICARE: DAMIAN BREZINSKI MD

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	207RI0011X	Interventional Cardiology Physician	35595	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110123231	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18195	OTHER	NC	BCBS NC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740395029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMIAN BREZINSKI MD

Provider Business Mailing Address
First Line	:	1328 LAKE PARK BLVD N
Second Line	:	STE 103
City	:	CAROLINA BEACH
State	:	NC
Zip	:	28428-3906
Country	:	US
Telephone Number	:	910-341-3300
Fax Number	:	910-341-3321

Provider Business Practice Location Address
First Line	:	1328 LAKE PARK BLVD N
Second Line	:	STE 103
City	:	CAROLINA BEACH
State	:	NC
Zip	:	28428-3906
Country	:	US
Telephone Number	:	910-341-3301
Fax Number	:	910-341-7946

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	06/23/2016

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Directions to “ DAMIAN BREZINSKI MD” Practice Location

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