Mark Bricca, N.D., M.AC.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1652 Issued in OR

Practice address

2900 NW Clearwater Dr
Ste. 200
Bend, OR 97703

Phone

(541) 201-2461

NPI assigned

Nov 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mark.bricca@10144745193476.direct.elationemr.com

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1396999322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 SW HILLWOOD CT UNIT 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022572",
            "telephone_number": "541-201-2461",
            "fax_number": "866-748-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NW CLEARWATER DR",
            "address_2": "STE. 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-201-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICCA",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "N.D., M.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01292",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND820",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in Bend, OR
• Providers in Bend, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.