Alan S Bricklin, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G29222 Issued in CA

Practice address

18425 Burbank Blvd
Suite 500
Tarzana, CA 91356-2806

Phone

(818) 708-6000

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Interscope Pathology Medical Group

  • Clinical Medical Laboratory
  • Westlake Village, CA
  • NPI 1386807246
  NPD
• Interscope Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Westlake Village, CA
  • NPI 1104830074

  Specialist

  NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1073539102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 500",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-708-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 500",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-708-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKLIN",
        "first_name": "ALAN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G29222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G29222",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holland Breed
• Brian Scott Brewington, LCSW
• Brian K Fenmore MD
• Brian K Greenberg, M.D. Inc
• Brian K. Fenmore, MD Inc
• Bright Path ABA
• Brightvale Home Health LLC
• Shawn Lare Brinkley, LMFT
• Brite Spot Inc.
• Karla Brito

• Specialist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.