Individual
DAVID A BRICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 525-1914
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J2931
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
J2931
TX
207RP1001X
Pulmonary Disease Physician
J2931
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
J2931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164496503
—
TX
05
—
164496505
—
TX
05
—
164496506
—
TX
05
—
164496507
—
TX
01
—
75-2616977-026
TRICARE
TX
01
—
75-2616977-042
TRICARE
TX
01
—
75-2616977-123
TRICARE
TX
01
—
8AK460
BCBS INDIVIDUAL #
TX
01
—
8DC861
BCBS
TX
01
—
P00881732
RAILROAD MEDICARE
TX
01
—
P01154594
RAIL ROAD
TX
Enumeration date
07/18/2006
Last updated
03/19/2021
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