Individual
DEREK M BRICKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 2ND AVE NE, JAMESTOWN, ND 58401-3373
(701) 251-6000
Mailing address
300 2ND AVE NE, JAMESTOWN, ND 58401-3373
(701) 251-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11895
ND
207Q00000X
Family Medicine Physician
TEP5877
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16213
—
ND
05
—
47055301100
—
NE
Enumeration date
07/25/2008
Last updated
03/25/2022
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