NPIMap

Organization Active NPI

Dr. Paul M. Brickman LTD.

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1396876223
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4604 Issued in VA
Legal business name
DR. PAUL M. BRICKMAN LTD.
Practice address
351 Edwin Dr
Suite 103
Virginia Beach, VA 23462-4559
Phone
(757) 499-9839
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul Martin Brickman, D.D.S.
Title
President
Phone
(757) 499-9839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4604 VA Primary

Addresses

Primary practice location

351 Edwin Dr
Suite 103
Virginia Beach, VA 23462-4559

Mailing address

351 Edwin Dr
Suite 103
Virginia Beach, VA 23462-4559
Phone (757) 499-9839

National Provider Directory

National Provider Directory

Locations

351 Edwin Dr
Ste 103
Virginia Beach, VA 23462
Phone (757) 499-9839

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396876223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 EDWIN DR",
            "address_2": "SUITE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624559",
            "telephone_number": "757-499-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 EDWIN DR",
            "address_2": "SUITE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624559",
            "telephone_number": "757-499-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAUL M. BRICKMAN LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRICKMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-499-9839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "4604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.