DR. JACEK R BRUDZEWSKI M.D.
NPI 1720035850
Emergency Medicine - Emergency Medical Services in Detroit, MI
About Dr. Jacek R Brudzewski M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACEK R BRUDZEWSKI M.D. (NPI 1720035850) is an individual emergency medical services provider in Detroit, Michigan, licensed in Michigan (4301046535) and active in the NPI registry since May 2006. He maintains a secondary practice location in Detroit.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
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 Jacek Brudzewski's NPI number?
The NPI number for Jacek Brudzewski is 1720035850. It was assigned to this individual provider in the NPPES registry on May 26, 2006.
Where is Jacek Brudzewski located?
Jacek Brudzewski practices at 4201 Saint Antoine St Suite 3R, Detroit, MI 48201. The listed phone number is (313) 745-3000.
What is Jacek Brudzewski's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.
When was this NPI record last updated?
The NPPES record for Jacek Brudzewski was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Jacek R Brudzewski, M.D. · NPI 1720035850
Emergency Medical Services physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1720035850 (Entity type: Individual)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **State license:** 4301046535 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4201 SAINT ANTOINE ST, SUITE 3R, Detroit, MI 48201-2153
- **Phone:** (313) 745-3000
## Record status
- **NPPES last updated:** April 10, 2019
- **Other identifiers:** Medicaid 101987795 (MI); Other JB046535 (MI); Medicaid 104476377 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1720035850) · Data from the CMS NPPES public registry.