Marc H Brickman, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

007470 Issued in AZ

Practice address

3120 Clearwater Dr
Prescott, AZ 86305-7131

Phone

(928) 771-3704

Fax

(928) 771-0434

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

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

Internal Medicine

Education

Midwestern University, Chicago College of Osteopathic Med, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aiken Professional Association LLCGroup PAC ID 0446430805, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Home Health of Aiken Home health agency, Aiken, SC, CCN 427119
• Centerwell Home Health Home health agency, Newberry, SC, CCN 427850
• Enhabit Home Health Aiken Home health agency, Columbia, SC, CCN 427128
• Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Aiken Professional Association, LLC

  • Internal Medicine Physician
  • Aiken, SC
  • NPI 1639479801
  Medicare reassignment Care Compare group
• New England Internal Medicine, PC

  • Internal Medicine Physician
  • Littleton, NH
  • NPI 1598809550
  NPD (past) Authorized official
• Littleton Internal Medicine, PC

  • Internal Medicine Physician
  • Littleton, NH
  • NPI 1609056118
  NPD (past)

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

• Aiken Regional Medical Centers LLC

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1447437157
  Care Compare affiliation
• Aiken Regional Medical Centers LLC

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1467448498
  Care Compare affiliation
• Aiken Regional Medical Centers, LLC.

  • Neurological Surgery Physician
  • Aiken, SC
  • NPI 1942610928

  Hospital

  Care Compare affiliation
• Augusta Home Care Services, LLC

  • Home Health Agency
  • Aiken, SC
  • NPI 1316315278
  Care Compare affiliation
• Capital Care Resources of South Carolina, LLC

  • Home Health Agency
  • Newberry, SC
  • NPI 1760857767
  Care Compare affiliation
• Caresouth HHA Holdings of South Carolina, LLC

  • Home Health Agency
  • Aiken, SC
  • NPI 1033456918
  Care Compare affiliation
• University Health Services,Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1437101789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "928-759-5987",
            "fax_number": "775-356-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 CLEARWATER DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057131",
            "telephone_number": "928-771-3704",
            "fax_number": "928-771-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 society Hill Dr.",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "29803",
            "country_code": "US",
            "telephone_number": "803-648-7774",
            "fax_number": "803-648-7490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 society Hill Dr.",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "29803",
            "country_code": "US",
            "telephone_number": "803-648-7774",
            "fax_number": "803-648-7490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRICKMAN",
        "first_name": "MARC",
        "middle_name": "H",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "1126",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "007470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z210853",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347441",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11267",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Brenchley, LCSW
• Destiny Brennan, RD, RN
• Kelly Anne Brewer, RRT
• Emily Brewton, PA-C
• Robert Bricker, M.D.
• Jane Ellen Bridges, ANP-C
• Richard Brightheart
• Rodney J Brimhall, DDS
• Julia Britz, ND
• Randy Vernon Brogdon

• Internal Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.