Brikha Medical Center SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036097975 Issued in IL

Legal business name

BRIKHA MEDICAL CENTER SC

Practice address

8118 N Milwaukee Ave
Suite # 105
Niles, IL 60714-2836

Phone

(847) 692-5206

Fax

(847) 692-5394

NPI assigned

Mar 26, 2007

Last updated

Feb 13, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles S Brikha, MDNPI 1396845848

Title

President

Phone

(847) 692-5206

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles S Brikha, M.D.

  • Internal Medicine Physician
  • Niles, IL
  • NPI 1396845848
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1053439448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 N MILWAUKEE AVE",
            "address_2": "SUITE # 105",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142836",
            "telephone_number": "847-692-5206",
            "fax_number": "847-692-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 N MILWAUKEE AVE",
            "address_2": "SUITE # 105",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142836",
            "telephone_number": "847-692-5206",
            "fax_number": "847-692-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIKHA MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "BRIKHA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-692-5206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036097975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097975",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396845848",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497707129",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107939",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0031622648",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Brasic
• Jeffrey Theodore Brasky, D.O.
• Elena Bresler, PHARM D
• Elaina Bridich
• Brighter Mind Therapy LLC
• Charles S Brikha, M.D.
• Mary Grace Brina, RPT
• Jill Brobson, M.A.
• Kiela Broderick
• Susan G Brown, MD

• Specialist in Niles, IL
• Providers in Niles, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.