Geoffrey C Bricker
Podiatrist (Foot & Ankle Surgery)

Address: 1540 E Evergreen St, Springfield, MO 65803-4300
Phone: 4178232900

Geoffrey C Bricker (NPI# 1710974316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1710974316
Entity Type Individual
Full Name Geoffrey C Bricker
Credential DPM
Gender Male
Practice Address 1540 E Evergreen St
Springfield
MO 65803-4300
Practice Telephone 4178232900
Practice Fax Number 4178232980
Mailing Address 1540 E Evergreen St
Springfield
MO 65803-4300
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-09-29
Last Update Date 2018-10-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 213ES0103X Podiatrist · Foot & Ankle Surgery Podiatric Medicine & Surgery Service Providers 000457 MO

Other Provider Identifier

State Identifier Issuer Type Code
MO 301636601 MEDICAID
P00195376 OTHER RR MEDICARE
MO 1710974316 MEDICAID

Physician Overview

NPI 1710974316
PAC ID by PECOS 0749255966
Professional Enrollment ID I20040831001372
Full Name Geoffrey C Bricker
Organization Legal Name SGOH ACQUISITION INC
Phone Number 4177258250
Gender M
Credential DPM
Medical School CALIFORNIA COLLEGE PODIATRIC MEDICINE
Graduation Year 1980
Primary Specialty PODIATRY
Group Practice PAC ID 5092616276
Number of Group Practice Members 54
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260040 COX MEDICAL CENTERS
260065 MERCY HOSPITAL SPRINGFIELD

Office Location

Street Address 1540 E EVERGREEN ST
City SPRINGFIELD
State MO
Zip Code 65803-4300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558366724 James L Godard Internal Medicine 1540 E Evergreen St, Springfield, MO 65803-4300 2005-06-15
1225542863 Charity Hall Nurse Practitioner 1540 E Evergreen St, Springfield, MO 65803-4300 2017-11-17
1184135113 Amberlyn Casie Logan Nurse Practitioner 1540 E Evergreen St, Springfield, MO 65803-4300 2017-10-17
1083130363 Alyson Rose Physical Therapy Assistant 1540 E Evergreen St, Springfield, MO 65803-4300 2017-08-17
1548705189 Ashden Vogler-blake Nurse Practitioner 1540 E Evergreen St, Springfield, MO 65803-4300 2017-01-05
1225581549 Lexi Sneed Physical Therapist 1540 E Evergreen St, Springfield, MO 65803-4300 2016-08-03
1932518768 Chance Martin Physical Therapist 1540 E Evergreen St, Springfield, MO 65803-4300 2014-08-06
1326381237 Lisa Marie Anderson Nurse Practitioner 1540 E Evergreen St, Springfield, MO 65803-4300 2013-03-28
1972828796 Terina Legene Knarr Nurse Practitioner 1540 E Evergreen St, Springfield, MO 65803-4300 2010-04-05
1013230747 Judith Auma Goddard Occupational Therapist 1540 E Evergreen St, Springfield, MO 65803-4300 2010-03-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285145730 Meghan Roetto Social Worker 2130 N Glenstone, Springfield, MO 65803 2017-10-23
1346751757 John B Lehn Pharmacist 2625 N Kansas Expressway, Springfield, MO 65803 2017-10-12
1558805754 Bhg Xliii, LLC Clinic/Center 2551 W Kearney St, Springfield, MO 65803 2016-12-07
1962856187 Karissa Knight Counselor 2438 N Cottage, Springfield, MO 65803 2016-04-14
1417383290 Walgreens Community/Behavioral Health 1525 W Kearny, Springfield, MO 65803 2013-09-24
1790123479 Sarah Fontana Dentist 2241 N. Glenstone Ave., Springfield, MO 65803 2013-06-04
1942499587 Jeci Mora Ramos Jr. Hearing Instrument Specialist 2133 N Nettleton, Springfield, MO 65803 2007-10-19
1598891012 Dwight Richard Daugherty Dentist 3016 N Kentwood, Springfield, MO 65803 2007-02-26
1144388224 Bradley Douglas Graf Dentist 1410 E Kearney, Suite A, Springfield, MO 65803 2006-12-04
1962575662 National Hearing Centers Audiologist-Hearing Aid Fitter 2825 N. Kansas Expwy, Springfield, MO 65803 2006-11-17
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477968352 Sneha Anil Patel Podiatrist 196 W Sproul Rd Ste 107, Springfield, PA 19064-2045 2014-06-30
1679990170 Craig Costa Podiatrist 100 Morris Ave Ste 304, Springfield, NJ 07081-1427 2014-03-21
1194091629 Foot & Ankle Associates of Central Il LLC Podiatrist 1603 West Washington, Springfield, IL 62702-4794 2012-03-29
1174823314 Community Medical Specialists Podiatrist 2207 Olympic Ave, Springfield, OH 45503-2725 2010-10-21
1154503878 Allen C Guehl Dpm Inc Podiatrist 204 S Belmont Ave, Springfield, OH 45505-1224 2007-12-04
1760697213 Jason Perry Galante Podiatrist 500 Morris Ave Ste 203, Springfield, NJ 07081-1020 2007-05-10
1174672869 Peter Crickellas Podiatrist 24 Lyons Pl, Springfield, NJ 07081-1604 2007-01-10
1992872998 Essex Union Podiatry LLP Podiatrist 500 Morris Avenue, Suite 203, Springfield, NJ 07081-1156 2006-11-29
1487691747 Donald Pierre Lemelle Podiatrist 415 W Harding Rd, Springfield, OH 45504-1706 2006-06-02
1255306676 David Plotkin Podiatrist 619 Morris Ave, Springfield, NJ 07081-1511 2006-02-20
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Competitor

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City SPRINGFIELD
Zip Code 65803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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