GEOFFREY C BRICKER (NPI# 1710974316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710974316 |
Entity Type | Individual |
Full Name | GEOFFREY C BRICKER |
Credential | DPM |
Practice Address |
1540 E Evergreen St Springfield MO 65803-4300 |
Practice Telephone | 4178232900 |
Practice Fax Number | 4178232980 |
Mailing Telephone | 4178232900 |
Mailing Fax Number | 4178232980 |
Enumeration Date | 2005-09-29 |
Last Update Date | 2018-10-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000457 | MO | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 301636601 | 05 | |
RR MEDICARE | P00195376 | 01 | |
MO | 1710974316 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700439791 | Geoffrey Gordon Bricker | Hearing Instrument Specialist | 1251 S Cedar Crest Blvd Ste 103b, Allentown, PA 18103-6205 | 2019-07-19 |
Street Address |
1540 E EVERGREEN ST |
City | SPRINGFIELD |
State | MO |
Zip Code | 65803-4300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558366724 | James L Godard | Internal Medicine | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2005-06-15 |
1801425319 | Jamie M Sims | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2020-04-06 |
1841791027 | Kevin Michael Stokes | Physician Assistant | 1540 E Evergreen St, Springfield, MO 65803 | 2018-02-23 |
1225542863 | Charity Hall | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-11-17 |
1184135113 | Amberlyn Casie Logan | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-10-17 |
1083130363 | Alyson Rose | Physical Therapy Assistant | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-08-17 |
1548705189 | Ashden Vogler-blake | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2017-01-05 |
1932518768 | Chance Martin | Physical Therapist | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2014-08-06 |
1427465194 | Carol D Curless | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2014-07-15 |
1326381237 | Lisa Marie Anderson | Nurse Practitioner | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2013-03-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
Find all providers in zip 65803 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497152474 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2207 Olympic Ave., Springfield, OH 45503-2725 | 2014-11-19 |
1194091629 | Foot & Ankle Associates of Central Il LLC | Podiatrist | 1603 West Washington, Springfield, IL 62702-4794 | 2012-03-29 |
1174823314 | Community Medical Specialists | Podiatrist | 2207 Olympic Ave, Springfield, OH 45503-2725 | 2010-10-21 |
1760697213 | Jason Perry Galante | Podiatrist | 500 Morris Ave Ste 203, Springfield, NJ 07081-1020 | 2007-05-10 |
1174672869 | Peter Crickellas | Podiatrist | 24 Lyons Pl, Springfield, NJ 07081-1604 | 2007-01-10 |
1992872998 | Essex Union Podiatry LLP | Podiatrist | 500 Morris Avenue, Suite 203, Springfield, NJ 07081-1156 | 2006-11-29 |
1053491837 | David E Samuel | Podiatrist | 196 W Sproul Rd Ste 107, Springfield, PA 19064-2045 | 2006-10-16 |
1285661249 | Stephen J Longobardi | Podiatrist | 100 Morris Ave Ste 304, Springfield, NJ 07081-1423 | 2006-06-27 |
1487691747 | Donald Pierre Lemelle | Podiatrist | 415 W Harding Rd, Springfield, OH 45504-1706 | 2006-06-02 |
1255306676 | David Plotkin | Podiatrist | 619 Morris Ave, Springfield, NJ 07081-1511 | 2006-02-20 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65803 |
Please comment or provide details below to improve the information on GEOFFREY C BRICKER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.