Provider Demographics
NPI:1508201336
Name:BROZYNA, JOZEF M (DO)
Entity Type:Individual
Prefix:DR
First Name:JOZEF
Middle Name:M
Last Name:BROZYNA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 NE MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6061
Mailing Address - Country:US
Mailing Address - Phone:541-382-6633
Mailing Address - Fax:541-382-2719
Practice Address - Street 1:1460 NE MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6061
Practice Address - Country:US
Practice Address - Phone:541-382-6633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO2011922085R0202X
CO614462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO777914OtherMEDICARE
NENA1214139OtherMEDICARE
CO777865OtherMEDICARE
NENA1215140OtherMEDICARE
NENA2517116OtherMEDICARE
CO9000170528Medicaid
NENA1214139OtherMEDICARE
CO777899OtherMEDICARE
CO777908OtherMEDICARE
NENA1215140OtherMEDICARE
CO777902OtherMEDICARE