Individual
DR. BRIAN PRZYSTAWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, PSC
Contact information
Practice address
4119 BROWNS LN, BLDG 2, LOUISVILLE, KY 40220-1500
(502) 454-4187
(502) 454-4235
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
(502) 454-4235
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
07000635
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
195
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051908
ANTHEM
IN
01
—
000000051908
ANTHEM
KY
01
—
000000051908
IN COMPREHENSIVE
—
05
—
1054641
—
KY
01
—
215680
MEDICARE GROUP
IN
01
—
2433700000
PASSPORT ADVANTAGE
—
01
—
480027403
RAILROAD MEDICARE
—
01
—
611327502
HUMANA
—
05
—
80001951
—
KY
01
—
9209
MEDICARE GROUP
KY
Enumeration date
12/13/2005
Last updated
10/15/2024
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