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MS. MARY MAGDALENE BRKICH
NPI 1558472902
Physician Assistant - Surgical in San Jose, CA

Active since August 31, 2006PECOS Enrolled
312 VISCAINO WAY, SAN JOSE, CA 95119(408) 828-5943 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Mary Magdalene Brkich NPPES

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

MS. MARY MAGDALENE BRKICH (NPI 1558472902) is an individual surgical provider in San Jose, California, licensed in California (PA14401) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558472902
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. MARY MAGDALENE BRKICH
Location Address312 VISCAINO WAYSan Jose, CA 95119-1630
Mailing Address16920 Marbella CtMorgan Hill, CA 95037-7040 · (408) 828-5943
Phone(408) 828-5943
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
✔ NPI 1558472902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA14401
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA14401 (CA)
312 VISCAINO WAY, San Jose, CA 95119
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Magdalene Brkich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

SOUTH VALLEY SURGICAL ASSOCIATES
Physician Assistant (Surgical)
312 VISCAINO WAY
SAN JOSE, CA 95119
Santa Clara County (408) 440-2359

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 Mary Brkich's NPI number?

The NPI number for Mary Brkich is 1558472902. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mary Brkich located?

Mary Brkich practices at 312 Viscaino Way, San Jose, CA 95119. The listed phone number is (408) 828-5943.

What is Mary Brkich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mary Brkich enrolled in Medicare?

Yes. Mary Brkich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Brkich was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.