Robert E Bricker, DDS, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1443 Issued in WV

Legal business name

ROBERT E BRICKER, DDS, LTD

Practice address

512 C St
Saint Albans, WV 25177-2720

Phone

(304) 727-2294

Fax

(304) 727-4928

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Robert E Bricker, DDS

Title

Dentist

Phone

(304) 727-2294

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1619096930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 C ST",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772720",
            "telephone_number": "304-727-2294",
            "fax_number": "304-727-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 C ST",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772720",
            "telephone_number": "304-727-2294",
            "fax_number": "304-727-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E BRICKER, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "BRICKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "304-727-2294",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "1443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134783000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Roach
• Cammie L Roach
• Carolyn Roach
• Violet Robbins
• Kenneth James Roberson, DDS
• Robert Rand Robinson, DDS
• Jamia Rogers
• Gilberto Roman
• Joel Rowsey
• Amber Roy

• General Practice Dentistry in Saint Albans, WV
• Providers in Saint Albans, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.