Brush Advisories Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A37875

Legal business name

BRUSH ADVISORIES MEDICAL

Practice address

520 N Main St Ste 111
Santa Ana, CA 92701

Phone

(714) 973-2378

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Kenrick Anthony Licorish, MD

Title

Ceo

Phone

(714) 460-2948

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1811149677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1261",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92702",
            "telephone_number": "714-460-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MAIN ST STE 111",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-973-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH ADVISORIES MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "LICORISH",
        "authorized_official_first_name": "KENRICK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-460-2948",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": null,
            "license": "A37875",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": "A37875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Glen Brummond
• Brandy Bruner, RN
• Terri Brunette
• Bruno Bucci MD Inc
• Ashley Bruns
• Carol Ann Brush, PH.D.,MFT
• Vincent Daniel Bryan
• Bubbe and Zayde'S Place Inc.
• Jasmine Bubion
• Bruno Bucci, M.D.

• Internal Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.