Individual
CHAD A BRICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
205 S FRONT ST, BRADY BUILDING - 4TH, HARRISBURG, PA 17104-1619
(717) 231-8555
(717) 231-8568
Mailing address
503 N 21ST ST, CAMP HILL, PA 17011-2204
(717) 763-2100
(717) 975-2724
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001868L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232809429008
TRICARE
PA
01
—
50073444
CAPITAL BLUE CROSS
—
01
—
970024781
RR MEDICARE PTAN
PA
01
—
CA5965
RAILROAD MEDICARE
PA
Enumeration date
06/07/2006
Last updated
06/27/2024
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