Keith Bricking, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35-085905 Issued in OH

Practice address

1 Wyoming St
Dayton, OH 45409-2722

Phone

(513) 281-4400

Fax

(513) 281-4545

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 Medicine

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.

• Miami Valley Emergency Specialists, LLC

  • Emergency Medicine Physician
  • Dayton, OH
  • NPI 1821189085
  Medicare reassignment NPD
• PHS Emergency Billing LLC

  • Emergency Medicine Physician
  • Dayton, OH
  • NPI 1578387486
  Medicare reassignment NPD
• Premier Health Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Dayton, OH
  • NPI 1134633761
  Medicare reassignment NPD
• Kentucky Emergency Room Physicians Inc

  • Emergency Medicine Physician
  • Greenville, KY
  • NPI 1720153935
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1306937578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 ROBERTSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091268",
            "telephone_number": "513-281-4400",
            "fax_number": "513-281-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "513-281-4400",
            "fax_number": "513-281-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKING",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-085905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2584065",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Mihok, D.O.
• Kaitlyn Briar
• Dean A. Bricker, MD
• Hayley Bricker, LSW
• Stephanie Ann Bricker, LISW-S
• Laura Gene Bricklin, MD
• Ethan Tyler Brickman, DO
• Bridge Consulting Services LLC
• Bridge Consulting Services LLC
• Bridge of Care Group Home LLC

• Emergency Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.