MATTHEW RYAN MICHIENZI DO NPI 1699423459

NPI Information

  • NPI: 1699423459
  • Provider Name: MATTHEW RYAN MICHIENZI, DO
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Individual
  • Address: BROOKE ARMY MEDICAL CENTER PEDIATRICS
    3551 ROGER BROOKE DR.
    JBSA-FORT SAM HOUSTON, TX
    ZIP 78234
  • Phone: (210) 916-9928

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NPI Details

Matthew Ryan Michienzi, DO is a military health care provider in Jbsa-fort Sam Houston, TX. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Matthew Ryan Michienzi, DO NPI is 1699423459. 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:

BROOKE ARMY MEDICAL CENTER PEDIATRICS
3551 ROGER BROOKE DR.
JBSA-FORT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 916-9928

The enumeration date for this NPI number is 3/11/2022 and was last updated on 8/21/2023.

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
1171000000XMilitary Health Care ProviderYes

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: 3/30/2025

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