Active NPI
Harry Dwight Brickley Jr., M.D.
- Surgery Physician
- Indianapolis, IN
National Provider Identifier
1407293566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01016720A
- Practice address
- 1037 Tuckahoe
Indianapolis, IN 46260 - Phone
- (317) 251-9322
- NPI assigned
- May 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01016720A | IN | Primary |
Addresses
Primary practice location
1037 Tuckahoe
Indianapolis, IN 46260
Mailing address
1037 Tuckahoe
Indianapolis, IN 46260
Phone (317) 251-9322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1407293566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 TUCKAHOE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46260",
"telephone_number": "317-251-9322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037 TUCKAHOE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46260",
"telephone_number": "317-251-9322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICKLEY",
"first_name": "HARRY",
"middle_name": "DWIGHT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-30",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01016720A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.