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

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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.
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