Active NPI
Michael J Brickner, MD
- Diagnostic Radiology Physician
- Brainerd, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 51063
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23701 | NE | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Radiology, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Brainerd Medical Center Inc | Current | Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| Lakewood Health System | Current | Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Mille Lacs Health System | Current | 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
- 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.
-
dba Riverwood Healthcare Center
- Critical Access Hospital
- Aitkin, MN
- NPI 1942277835
-
dba Lakewood Clinic Staples
- Rural Health Clinic/Center
- Staples, MN
- NPI 1841280823
-
dba Critical Access Hospital
- Critical Access Hospital
- Onamia, MN
- NPI 1548212699
-
dba Essentia Health Brainerd Specialty Clinic
- General Practice Physician
- Brainerd, MN
- NPI 1295801777
-
- Diagnostic Radiology Physician
- Grand Junction, CO
- NPI 1093823742
-
- Critical Access Hospital
- Staples, MN
- NPI 1295726362
-
dba Riverwood Pharmacy Aitkin
- Community/Retail Pharmacy
- Aitkin, MN
- NPI 1497377287
-
dba Longbella Drug by Lakewood Health System - Pillager Clinic
- Community/Retail Pharmacy
- Pillager, MN
- NPI 1396519906
-
dba Mille Lacs Family Health Center
- Multi-Specialty Clinic/Center
- Garrison, MN
- NPI 1629231121
-
dba MLHS Community Pharmacy
- Community/Retail Pharmacy
- Onamia, MN
- NPI 1841947801
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverwood Healthcare Center
- Critical Access Hospital
- Aitkin, MN
- NPI 1942277835
-
- Critical Access Hospital
- Staples, MN
- NPI 1295726362
-
dba Critical Access Hospital
- Critical Access Hospital
- Onamia, MN
- NPI 1548212699
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.