Erin Alice Brickley, D.O.
Individual provider Active NPI Pediatrics Physician · Marion, VA
NPI 1548680960 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1548680960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 0102204742 (VA)
- Practice address
- 1204 N Main St
Marion, VA 24354-4312 - Phone
- (276) 783-2511
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180314002453 | VA | Practitioner - Pediatric Medicine | 9032471859 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Pediatrics | Current |
Accepting new patients |
| Blue Ridge Medical Management Corporation | Current |
Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Mountainview Pediatrics, P.C. | Pediatrics | Past |
Accepting new patients |
Locations
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0102204742 | VA | Yes |
Addresses
Primary practice location
1204 N Main St
Marion, VA 24354-4312
Mailing address
1204 N Main St
Marion, VA 24354-4312
Phone (276) 783-2511
Other practice location 1
325 N State Of Franklin Rd
ETSU Physicians and Associates Pediatrics
Johnson City, TN 37604-6056
Phone (423) 439-7320
Other practice location 2
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548680960 | Medicaid | VA |
Other names
- Erin Alice Majchrzak
Other providers in Marion, VA
- Boothe Chirpractic Center, LLC
- Samuel Kenneth Boothe
- Karen Lynn Bordwine
- Elizabeth A. Bradshaw
- Emily Gatewood Buchanan Bralley
- Bruce R Briggs II
- Henrike Brinker
- Bristol Surgical Associates PC
- Judy Kay Britt
- Allison Patton Brooks
All providers in Marion, VA · Pediatrics Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.