MATIAS BRUZONI MD NPI 1548381890

NPI Information

  • NPI: 1548381890
  • Provider Name: MATIAS BRUZONI, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9835 N LAKE CREEK PKWY
    AUSTIN, TX
    ZIP 78717
  • Phone: (372) 293-5117

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NPI Details

Matias Bruzoni, MD is a pediatric surgery surgery in Austin, TX. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Matias Bruzoni, MD NPI is 1548381890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9835 N LAKE CREEK PKWY
AUSTIN, TX
ZIP 78717-210
Phone: (372) 293-5117

The NPI 1548381890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric SurgeryU5648TEXASYes
2208600000XSurgeryA105639CALIFORNIANo
32086S0120XSurgeryPediatric SurgeryA105639CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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