Evan Drew Brickner, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

72573 Issued in AZ

Practice address

5210 E Farness Dr
Tucson, AZ 85712-2140

Phone

(520) 795-4100

Fax

(520) 795-4224

NPI assigned

Apr 26, 2021

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

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Southern Arizona Internal Medicine PLLC

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1275565509
  Medicare reassignment NPD

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1114509544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 E FARNESS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122140",
            "telephone_number": "520-795-4100",
            "fax_number": "520-795-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E FARNESS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122140",
            "telephone_number": "520-795-4100",
            "fax_number": "520-795-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKNER",
        "first_name": "EVAN",
        "middle_name": "DREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "72573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Clark Brick, M.D.
• Jenny P Brick, MD
• Jessica Brick, RDN
• Rose Marie Bricker
• Rochelle F. Brickman, OT
• Elisabeth Anne Bridegroom, RN
• Buffie Bridges
• Charles Bridges, M.D.
• Surayyah Bridges
• Bridgewater la Cholla Operations, LLC

• Internal Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.