Paul Bricker, MD | |
871 Brule St, Fort Knox, KY 40121-2026 | |
(512) 660-4776 | |
Not Available |
Full Name | Paul Bricker |
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Gender | Male |
Speciality | Family Medicine |
Location | 871 Brule St, Fort Knox, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013398841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 57121 (Kentucky) | Primary |
Entity Name | Concord Medical Group Of Kentucky Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20180503002233 |
Entity Name | Concord Company Of Tennessee Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20190221000097 |
Mailing Address | Practice Location Address |
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Paul Bricker, MD 5868a Adams St, Fort Knox, KY 40121-2026 Ph: () - | Paul Bricker, MD 871 Brule St, Fort Knox, KY 40121-2026 Ph: (512) 660-4776 |
Clarisa Ballarta Colchado, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 433 192nd Tank Bn Road, Bldg 853, Fort Knox, KY 40121 Phone: 502-624-3149 | |
Dean Richard Giulitto, D. O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 851 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121 Phone: 502-624-0220 | |
Dr. Renee L Dodge, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 289 Ireland Ave, Bldg 851 Va Clinic, Fort Knox, KY 40121 Phone: 502-624-0235 | |
Michael W. Sullivan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 Spearhead Division Ave Dept 140, Fort Knox, KY 40122 Phone: 502-613-4605 Fax: 502-613-4549 | |
Dr. Bruce Fried, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 289 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121 Phone: 502-624-9007 Fax: 502-624-0252 | |
Dr. Edwin S Chelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 289 Ireland Ave, Fort Knox, KY 40121 Phone: 812-526-1135 Fax: 812-526-1768 |