Individual provider Active NPI

Michael J Brickner, MD

  • Diagnostic Radiology Physician
  • Brainerd, MN
National Provider Identifier
1154536696
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
51063 Issued in MN
Practice address
2019 S 6TH St
Brainerd, MN 56401-4528
Phone
(218) 822-4242
Fax
(218) 822-3758
NPI assigned
May 10, 2007
Last updated
Mar 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 103736 MN
Diagnostic Radiology Physician 2085R0202X 23701 NE
Diagnostic Radiology Physician 2085R0202X 51063 MN Primary

Addresses

Primary practice location

2019 S 6TH St
Brainerd, MN 56401-4528

Mailing address

2019 S 6TH St
Brainerd, MN 56401-4528
Phone (218) 822-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080827000723 MN Practitioner - Diagnostic Radiology 2466528419 Reassigns benefits to 7 organizations
I20240410002026 CO Practitioner - Diagnostic Radiology 2466528419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians
Mille Lacs Health SystemGroup PAC ID 4789577834, 47 clinicians
Lakewood Health SystemGroup PAC ID 1052229671, 107 clinicians

Practice addresses (Care Compare)

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2121

200 Elm St N
Onamia, MN 56359-7901
Phone (320) 532-2750

49725 County
Suite 83
Staples, MN 56479-5280
Phone (218) 894-1515

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23701NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Radiology, Inc Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Brainerd Medical Center Inc Current Accepting new patients
Lakewood Health System CurrentSince Jul 1, 2025 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Mar 12, 2024 Accepting new patients
Mille Lacs Health System Current Accepting new patients
Mille Lacs Health System Current Accepting new patients
Lakewood Health System CurrentSince Jul 1, 2025 Accepting new patients
Mille Lacs Health System CurrentSince Jul 14, 2019 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Mar 12, 2024 Accepting new patients
Mille Lacs Health System CurrentSince Jul 14, 2019 Accepting new patients

Locations

600 Russell St
Craig, CO 81625
Phone (970) 824-3252

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

750 Wellington Ave
Grand Junction, CO 81501
Phone (970) 244-2457

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

27378 State Highway 18
Garrison, MN 56450
Phone (320) 692-5599

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

Interoperability endpoints

  • Direct secure messaging: mbrickner626035@direct.ochin.org

Organizations & group practices 11

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1154536696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014528",
            "telephone_number": "218-822-4242",
            "fax_number": "218-822-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014528",
            "telephone_number": "218-822-4242",
            "fax_number": "218-822-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKNER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "103736",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "23701",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "51063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

Verify at the official NPI Registry.