Provider Demographics
NPI:1013914969
Name:BRZEZINSKI, KURT EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:EDWARD
Last Name:BRZEZINSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004919L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
2135611OtherMAMSI
951457OtherHIGHMARK BLUE SHIELD
02212501OtherCAPITAL BLUE CROSS
0368085000OtherAMERIHEALTH
0368085000OtherKEYSTONE HEALTH EAST
P911006OtherOXFORD HEALTH PLANS
PA0016640880002Medicaid
1987212OtherPRIVATE HEALTHCARE SYSTEM
350040273OtherMEDICARE RAILROAD
02212501OtherKEYSTONE HEATLH CENTRAL
2128624OtherUNITED HEALTHCARE
417611OtherHEALTHAMERICA/HEALTHASSUR
0368085000OtherINDEPENDENCE BLUE CROSS
813441OtherAETNA PPO
9277828OtherCIGNA HEALTHCARE
0368085000OtherAMERIHEALTH
2135611OtherMAMSI