RICHARD L. BRICKNER MD
Complete NPI Record 1497785497
Anesthesiology in Highland Park, IL
Quality Rating: 91.19 out of 100 score
NPI Status: Active since July 04, 2006
Contact Information
718 GLENVIEW AVE
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 480-3852
Fax: (847) 480-3712
- NPI
- Entity Type Code
- Provider Last Name Legal Name
- Provider First Name
- Provider Middle Name
- Provider Credential Text
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider Business Mailing Address Telephone Number
- Provider Business Mailing Address Fax Number
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Business Practice Location Address Fax Number
- Provider Enumeration Date
- Last Update Date
- Provider Gender Code
- Healthcare Provider Taxonomy Code 1
- Provider License Number State Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Is Sole Proprietor
Complete NPI Dataset
This page represents the complete record for NPI 1497785497. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1497785497
- The first name of the provider, if the provider is an individual.
- Entity Type Code: 1
- The middle name of the provider, if the provider is an individual.
- Provider Last Name Legal Name: BRICKNER
- The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider First Name: RICHARD
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Middle Name: L.
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Credential Text: MD
- The city name in the mailing address of the provider being identified.
- Provider First Line Business Mailing Address: 2650 RIDGE AVE
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Business Mailing Address City Name: EVANSTON
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider Business Mailing Address State Name: IL
- The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
- Provider Business Mailing Address Postal Code: 602011718
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
- Provider Business Mailing Address Country Code If outside U S : US
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Mailing Address Telephone Number: 8475701206
- The country code in the location address of the provider being identified.
- Provider Business Mailing Address Fax Number: 8475701248
- The telephone number associated with the location address of the provider being identified.
- Provider First Line Business Practice Location Address: 718 GLENVIEW AVE
- The date the provider was assigned a unique identifier (assigned an NPI).
- Provider Business Practice Location Address City Name: HIGHLAND PARK
- The date that a record was last updated or changed.
- Provider Business Practice Location Address State Name: IL
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Provider Business Practice Location Address Postal Code: 600352432
- The first name of the authorized official.
- Provider Business Practice Location Address Country Code If outside U S : US
- The middle name of the authorized official.
- Provider Business Practice Location Address Telephone Number: 8474803852
- The code designating the provider’s gender if the provider is a person.
- Provider Business Practice Location Address Fax Number: 8474803712
- Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider Enumeration Date: 7/4/2006
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
- Last Update Date: 7/8/2007
- The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
- Provider Gender Code: M
- Healthcare Provider Taxonomy Code 1: 207L00000X
- Provider License Number State Code 1: IL
- Healthcare Provider Primary Taxonomy Switch 1: Y
- Is Sole Proprietor: N