LUCAS BRINKMAN (NPI# 1811003031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811003031 |
| Entity Type | Individual |
| Full Name | LUCAS BRINKMAN |
| Credential | DO |
| Practice Address |
115 Schult Ridge Rd Fredericksburg IA 50630-9582 |
| Mailing Address |
115 Schult Ridge Rd Fredericksburg IA 50630 |
| Practice Telephone | 5632375316 |
| Practice Fax Number | 5632376337 |
| Mailing Telephone | 5632375316 |
| Mailing Fax Number | 5632376337 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 3824 | IA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 3824 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE SHIELD | 1811003031 | 01 |
| IA | 1811003031 | 05 |
| Street Address |
115 SCHULT RIDGE RD |
| City | FREDERICKSBURG |
| State | IA |
| Zip Code | 50630-9582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316107 | Mary Sharon Peraud | Family Medicine | 115 Schult Ridge Rd, Fredericksburg, IA 50630-9582 | 2005-09-15 |
| 1548596927 | Fredericksburg Family Health Clinic, Pllc | Clinic/Center | 115 Schult Ridge Rd, Fredericksburg, IA 50630-9582 | 2009-10-20 |
| 1326085739 | Fredericksburg Family Health Clinic | Family Medicine | 115 Schult Ridge Rd, Fredericksburg, IA 50630-9582 | 2006-06-02 |
| 1083609044 | Joseph Bernard Peraud | Family Medicine | 115 Schult Ridge Rd, Fredericksburg, IA 50630-9582 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154463081 | Chickasaw Ambulance Service Inc | Ambulance | 121 Buckeye Street, Fredericksburg, IA 50630 | 2007-02-14 |
| 1205838687 | Steven William Horak | Chiropractor | 111 West Main Street, Fredericksburg, IA 50630 | 2005-08-15 |
| 1447582390 | Pathways Behavioral Services Inc | Community/Behavioral Health | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2010-02-03 |
| 1396376414 | Molly Barbara Demuth | Counselor | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2020-01-28 |
| 1942611751 | Lacey Schmitt | Counselor | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2014-05-14 |
| 1922320084 | Pathways Behavioral Services Inc | Substance Abuse Rehabilitation Facility | 602 S Washington Ave, Fredericksburg, IA 50630-1003 | 2010-02-17 |
| 1033438809 | Jillian Jolley | Doula | 205 S Washington Ave, Fredericksburg, IA 50630-1036 | 2010-05-19 |
| 1386811321 | Laurie Danae Thein | Counselor | 123 E Main St, Fredericksburg, IA 50630-7701 | 2008-05-09 |
| 1184808081 | Fredericksburg Comm School District | Local Education Agency (LEA) | 401 E High St, Fredericksburg, IA 50630-7730 | 2007-12-27 |
| 1649530924 | Shelley Carter | Military Health Care Provider | 2436 Pembroke Ave, Fredericksburg, IA 50630-9499 | 2012-05-21 |
| Find all providers in zip 50630 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1477905784 | Metropolitan Health Care Providers, Inc | Family Medicine | 12702 Maxwell Ct, Fredericksburg, VA 22407-2272 | 2016-07-11 |
| 1497106504 | Centercare Family Practice, LLC | Family Medicine | 2565 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2016-06-29 |
| 1477933851 | Hill Country Integrative Medicine | Family Medicine | 1603 E Main St Unit A, Fredericksburg, TX 78624-5450 | 2015-06-01 |
| 1043563174 | Primary and Urgent Care LLC | Family Medicine | 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 | 2012-10-26 |
| 1225322639 | Raymond Smith | Family Medicine | 608 Royal Oaks Loop, Fredericksburg, TX 78624-6663 | 2011-06-02 |
| 1649414137 | Donna Roxanne Richards | Family Medicine | 21 Dabney Ct, Fredericksburg, VA 22405-2173 | 2009-04-28 |
| 1235375007 | Nicquia Spain | Family Medicine | 4535 Spotsylvania Pkwy, Fredericksburg, VA 22408-7768 | 2008-12-30 |
| 1952520330 | Naeem Ahmad | Family Medicine | 4510 Plank Rd, Suite 200, Fredericksburg, VA 22407-0138 | 2007-04-24 |
| 1154545028 | Muhammad Jadoon | Family Medicine | 1000 Sam Perry Blvd, Fredericksburg, VA 22405 | 2007-04-12 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 50630 |
Please comment or provide details below to improve the information on LUCAS BRINKMAN.
| 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.