Brenton Gicker, EMT-I, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

201505032 Issued in OR

Practice address

341 E 12TH Ave
Eugene, OR 97401-3275

Phone

(541) 337-4857

NPI assigned

Oct 7, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1134948193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013275",
            "telephone_number": "541-337-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GICKER",
        "first_name": "BRENTON",
        "credential": "EMT-I, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "OR",
            "license": "139405",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OR",
            "license": "201505032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Susan Gibbs, LCSW
• Jarred Nathanial Gibson, MS, ATC, C.PED
• Lainey Nichole Gibson
• Marion K Gibson, ATC
• Shawn Marie Gibson, QMHP
• Emma Corrine Gietzen, PSS
• Tove Gilbert-Morgan, M.S.
• Jon Saxon Gilbert, M.D.
• Andrew Gilchrist, MD
• Cara Joy Gilchrist, PHARM.D.

• Emergency Registered Nurse in Eugene, OR
• Providers in Eugene, OR by specialty
• Emergency Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.