Robert Edwin Brickey III, LVN
Individual provider Active NPI Licensed Vocational Nurse · Cottonwood, CA
NPI 1821701889 · NPPES record last updated Jan 4, 2023
Key facts
- NPI
- 1821701889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 242249 (CA)
- Practice address
- 18277 Bowman Rd
Cottonwood, CA 96022-9303 - Phone
- (530) 276-1726
- NPI assigned
- Jan 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242249 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 242249 | CA | Yes |
Addresses
Primary practice location
18277 Bowman Rd
Cottonwood, CA 96022-9303
Mailing address
18277 Bowman Rd
Cottonwood, CA 96022-9303
Phone (530) 276-1726
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | user | Health Information Exchange (HIE) | |
| Other URL | user | Health Information Exchange (HIE) | |
| CONNECT URL | RobertBrickey | Direct |
Other providers in Cottonwood, CA
- Trina Christine Aultman
- Deborah Bainbridge
- Mirtha L Balcazar
- Danielle Besecker
- Amanda V Boles
- Kelly Tatiana Bruce-Lemma
- Linette Cristine Calvo
- Bernard Louis Christopher
- Cornerstone Physical Therapy
- Kimberly Marie Cory
All providers in Cottonwood, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.