David Hyman Bresticker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD042068E Issued in PA

Practice address

1205 River Ave FL 1
Williamsport, PA 17701-3724

Phone

(570) 323-5991

Fax

(570) 323-6578

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Family Practice

Education

University of Pittsburgh School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health of NC PA, LLC Home health agency, Lewisburg, PA, CCN 398144
• Upmc Home Healthcare Home health agency, Williamsport, PA, CCN 397006
• Family Hospice Hospice, Williamsport, PA, CCN 391513
• Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
• Geisinger Medical Center Hospital, Danville, PA, CCN 390006
• Upmc Muncy Hospital, Muncy, PA, CCN 391301
• Geisinger Jersey Shore Hospital Hospital, Jersey Shore, PA, CCN 391300

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: davidbrestickermd@fpc.medentdirect.com

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.

• Family Practice Center, PC

  • Physical Therapist
  • Middleburg, PA
  • NPI 1154376937

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Susquehanna Physician Services

  • Family Medicine Physician
  • Williamsport, PA
  • NPI 1205870904
  Medicare reassignment Care Compare group NPD
• Family Practice Center, PC

  • Clinical Medical Laboratory
  • Selinsgrove, PA
  • NPI 1033322466
  NPD
• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD
• Susquehanna Physician Services

  • Pulmonary Disease Physician
  • Williamsport, PA
  • NPI 1083677868
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Geisinger Jersey Shore Hospital

  • Clinic/Center
  • Lock Haven, PA
  • NPI 1275128381

  Hospital

  Care Compare affiliation
• Geisinger Jersey Shore Hospital

  • Critical Access Hospital
  • Jersey Shore, PA
  • NPI 1366407587
  Care Compare affiliation
• Geisinger Medical Center

  • Clinic/Center
  • Pottsville, PA
  • NPI 1003170937

  Hospital

  Care Compare affiliation
• Geisinger Medical Center

  • General Acute Care Hospital
  • Danville, PA
  • NPI 1013384809
  Care Compare affiliation
• Geisinger Medical Center

  • General Acute Care Hospital
  • Coal Township, PA
  • NPI 1033491741
  Care Compare affiliation
• Geisinger Medical Center

  • Clinic/Center
  • Shamokin, PA
  • NPI 1063708501

  Hospital

  Care Compare affiliation
• Geisinger Medical Center

  • Clinic/Center
  • Danville, PA
  • NPI 1093555120

  Hospital

  Care Compare affiliation
• Geisinger Medical Center

  • Clinic/Center
  • Danville, PA
  • NPI 1104682061

  Hospital

  Care Compare affiliation
• Geisinger Medical Center

  • Psychiatric Hospital Unit
  • Danville, PA
  • NPI 1144301102
  Care Compare affiliation
• Geisinger Medical Center

  • General Acute Care Hospital
  • Lewisburg, PA
  • NPI 1154617694
  Care Compare affiliation
• Geisinger Medical Center

  • General Acute Care Hospital
  • Danville, PA
  • NPI 1235215427
  Care Compare affiliation
• Geisinger Medical Center

  • Clinic/Center
  • Elysburg, PA
  • NPI 1245632231

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1376582841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 RIVER AVE FL 1",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013724",
            "telephone_number": "570-323-5991",
            "fax_number": "570-323-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESTICKER",
        "first_name": "DAVID",
        "middle_name": "HYMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD042068E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012069590013",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DavidBrestickerMD@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1205 River Ave Fl 1",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177013724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Esther Brennan, LBS
• Heather Sandra Brennan, LDN
• Amy R Brent, R.PH.
• Lauren Rebecca Breon, CRNA
• Jennifer Bressler, PA-C
• David A. Briggs, O.D.
• Briggsy, P.C.
• Mark Jonathan Britten, LPC
• Jenna Rose Brobst
• Rebecca Brocious, BA

• Family Medicine Physician in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.

Verify at the official NPI Registry.