George Orman Brick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0031731 Issued in FL

Practice address

425 S Kings Ave
Brandon, FL 33511-5919

Phone

(813) 685-1220

Fax

(813) 654-5660

NPI assigned

Nov 21, 2005

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 5

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Synergic Healthcare Solutions LLC

  • General Practice Physician
  • Tampa, FL
  • NPI 1033247580
  Medicare reassignment
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Riverview, FL
  • NPI 1003366402
  NPD
• Synergic Healthcare Solutions LLC

  • General Practice Physician
  • Wesley Chapel, FL
  • NPI 1194198382
  NPD

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1497738736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115919",
            "telephone_number": "813-685-1220",
            "fax_number": "813-654-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115919",
            "telephone_number": "813-685-1220",
            "fax_number": "813-654-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICK",
        "first_name": "GEORGE",
        "middle_name": "ORMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0031731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE ID",
            "identifier": "30165W",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K1858A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RR",
            "identifier": "080183489",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1134384258",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497738736",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos G Breton, DDS
• Jamie L Brewer, LMT,MMP
• Chelsea Brewington
• Donita Brezovar, ARNP
• Alicia Brick
• Sarah Brickner
• Donna Maria Bridge, MD
• Peter Mark Bridge, MD
• Cassandra Bridges
• Farrah Mahmood Briggs

• Family Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.