Individual
TODD C BRISKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SPECIAL FORCES WAY, HOFFMAN, NC 28347
(910) 907-3525
Mailing address
BN MED HHC 1ST BN, 1ST SWTG (A), CAMP MACKALL, NC 28347
(910) 907-3525
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
—
—
171000000X
Military Health Care Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07148615TB
ATP
—
Enumeration date
08/28/2024
Last updated
08/28/2024
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