Angela Rose Brickle, MS. CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

102 Issued in GA

Practice address

701 Gateway Blvd Ste 380
South San Francisco, CA 94080-7420

Phone

(877) 688-0992

NPI assigned

Dec 8, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Genome Medical Services

  • Genetic Counselor (M.S.)
  • South San Francisco, CA
  • NPI 1407389695

  Genetic Counselor, Ms

  NPD

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1154927903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 MURRAYVIEW DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121115",
            "telephone_number": "803-873-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GATEWAY BLVD STE 380",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807420",
            "telephone_number": "877-688-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKLE",
        "first_name": "ANGELA",
        "middle_name": "ROSE",
        "credential": "MS. CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "GA",
            "license": "102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradford Home Inc.
• Traci Lavonne Bradford
• Melissa Garig Brammer, M.D., M.P.H.
• Laurel Elizabeth Bravo
• Susan Esther Brennan, N.P.
• Allison Bridger
• William Patrick Brimmer
• Isabella Brink, MS, LCGC
• Carolyn Anne Brooks
• Brandi M. Brown, NP

• Genetic Counselor (M.S.) in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.