Robert J Brickner Jr., M.C.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

4301034509 Issued in MI

Practice address

737 N Grand Ave
Lansing, MI 48906-5160

Phone

(517) 372-0500

Fax

(517) 482-3220

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1891779401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N GRAND AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065160",
            "telephone_number": "517-372-0500",
            "fax_number": "517-482-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N GRAND AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065160",
            "telephone_number": "517-372-0500",
            "fax_number": "517-482-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKNER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "M.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301034509",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "4301034509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2099639",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Brenner, CRNA
• Megan Brew, PT, DPT
• Fonda Brewer-Williams, CERTIFIED HAIR LOSS
• Andrew D Brewer Jr.
• John Cameron Brewster, DDS
• Jennifer Elizabeth Briere
• Kaylei Paige Briggs
• Brighter Strides ABA Mi LLC
• Lauren Brill, LMSW
• Anthony M Briningstool, MD

• Colon & Rectal Surgery Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Colon & Rectal Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.