Organization Active NPI

Maria Brickman, M.D. a Medical Corporation

  • Neurology Physician
  • West Hollywood, CA
National Provider Identifier
1154650869
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A73153 Issued in CA
Legal business name
MARIA BRICKMAN, M.D. A MEDICAL CORPORATION
Practice address
9229 W Sunset Blvd
Suite 220
West Hollywood, CA 90069-3402
Phone
(323) 658-7655
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Maria Brickman, M.D.NPI 1538107230
Title
M.D./Owner
Phone
(323) 782-0160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A73153 CA Primary

Addresses

Primary practice location

9229 W Sunset Blvd
Suite 220
West Hollywood, CA 90069-3402

Mailing address

721 N Kilkea Dr
Los Angeles, CA 90046-7005
Phone (323) 782-0160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100216000575 CA Part B Supplier - Clinic/Group Practice 5890839716 Receives reassigned benefits from 1 practitioner
Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory
Tax ID family
Advanced Pain Control2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1019 N Fairfax Ave
Ste 101
West Hollywood, CA 90046
Phone (323) 650-5530

9229 W Sunset Blvd
Ste 220
West Hollywood, CA 90069
Phone (323) 658-7655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1154650869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N KILKEA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467005",
            "telephone_number": "323-782-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 W SUNSET BLVD",
            "address_2": "SUITE 220",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693402",
            "telephone_number": "323-658-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA BRICKMAN, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "BRICKMAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "323-782-0160",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A73153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.