Brent M Nickischer, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS008986L Issued in PA

Practice address

443 English Rd
Bath, PA 18014

Phone

(610) 390-5596

NPI assigned

Jun 26, 2006

Last updated

Jul 16, 2018By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patient First Pennsylvania Medical Group PLLC

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1194039560

  Family Medicine, PA

  Medicare reassignment NPD
• Patient First Pennsylvania Medical Group PLLC

  • Family Medicine Physician
  • Fairless Hills, PA
  • NPI 1144870387
  NPD
• Pennsylvania Urgent Care Centers, PLLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Downingtown, PA
  • NPI 1902128721
  NPD
• Cedar Crest Imaging

  dba Cedar Crest Imaging Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Allentown, PA
  • NPI 1447283916
  NPD (past)
• Wjo Inc.

  dba Oxford Valley Family Practice and Medical Center

  • Family Medicine Physician
  • Levittown, PA
  • NPI 1639125347
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1255368361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 ENGLISH RD",
            "city": "BATH",
            "state": "PA",
            "postal_code": "180149210",
            "telephone_number": "610-390-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 ENGLISH RD",
            "city": "BATH",
            "state": "PA",
            "postal_code": "18014",
            "telephone_number": "610-390-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKISCHER",
        "first_name": "BRENT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008986L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008986L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0311501",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH#",
            "identifier": "11585351",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Kermit Millheim, DMD
• Nicholas Mirabito
• Laura Jean Moyer, M.ED
• Ruvarashe Munyariwa, RPH
• Venugopal Narramneni, R.PH
• Northern Lehigh Primary Care
• Pace Foot and Ankle Centers PLLC
• Pediatric Stars Ppecc, LLC
• Shruthi Ravi
• Reynaldo C Guerra, MD PC

• Internal Medicine Physician in Bath, PA
• Providers in Bath, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.