DR. HERNAN R BRIZUELA M.D.
NPI 1174744064
Family Medicine - Adult Medicine in Philadelphia, PA

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
8019 FRANKFORD AVE, PHILADELPHIA, PA 19136(215) 694-0469(215) 635-4151 Get Directions Write a Review

NPPES record last updated: June 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Hernan R Brizuela M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HERNAN R BRIZUELA M.D. (NPI 1174744064) is an individual adult medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD037850L) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1174744064
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. HERNAN R BRIZUELACredential: M.D.
Location Address8019 FRANKFORD AVEPhiladelphia, PA 19136-2786
Mailing Address34 Latham ParkElkins Park, PA 19027 · (215) 635-8929 · Fax (215) 635-4151
Fax(215) 635-4151
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateMay 1, 2007
Last NPPES UpdateJune 7, 2015
NPI 1174744064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in PA · MD037850L
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedObstetrics & Gynecology · Hospice and Palliative MedicineTaxonomy 207VH0002X · License MD037850L (PA)
8019 FRANKFORD AVE, Philadelphia, PA 19136

Other Identifiers 1

Medicare PIN147681GUGPA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Hernan R Brizuela M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547343337
PECOS Enrollment IDI20080218000318
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
8019 FRANKFORD AVE
PHILADELPHIA, PA 19136
Family Medicine
8019 FRANKFORD AVE
PHILADELPHIA, PA 19136
Nurse Practitioner (Family)
8019 FRANKFORD AVE
PHILADELPHIA, PA 19136
Social Worker
8019 FRANKFORD AVE
PHILADELPHIA, PA 19136
Counselor
8019 FRANKFORD AVE
PHILADELPHIA, PA 19136
Behavior Technician
8019 FRANKFORD AVE
PHILADELPHIA, PA 19136
Occupational Therapist
8019 FRANKFORD AVE
PHILADELPHIA, PA 19136
Occupational Therapist
8019 FRANKFORD AVE
PHILADELPHIA, PA 19136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hernan Brizuela's NPI number?

The NPI number for Hernan Brizuela is 1174744064. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Hernan Brizuela located?

Hernan Brizuela practices at 8019 Frankford Ave, Philadelphia, PA 19136. The listed phone number is (215) 694-0469.

What is Hernan Brizuela's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Hernan Brizuela enrolled in Medicare?

Yes. Hernan Brizuela is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hernan Brizuela accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Hernan Brizuela as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hernan Brizuela was last updated on June 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.