BRIAN T PRZYSTAWSKI, DPM, PCS; NPI #1164512612

Contact Information

BRIAN T PRZYSTAWSKI, DPM, PCS

4119 BROWNS LANE
BLD#2
LOUISVILLE, KY 40220

Phone: 502-895-3840
Fax: 502-897-3642
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for BRIAN T PRZYSTAWSKI, DPM, PCS

NPI Number 1164512612

LBN Legal business name BRIAN T PRZYSTAWSKI, DPM, PCS

Authorized official BRIAN PRZYSTAWSKI - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/13/2006

Last updated 11/02/2022 - About 4 years ago

Identifiers

KY	Medicaid	50003493
KY	Medicaid	80900202

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BRIAN T PRZYSTAWSKI, DPM, PCS

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for BRIAN T PRZYSTAWSKI, DPM, PCS

Reviews for BRIAN T PRZYSTAWSKI, DPM, PCS