MEDICARE: BRICKEY MEDICAL ASSOCIATES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1316766108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRICKEY MEDICAL ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	9330 LBJ FWY STE 800
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-4310
Country	:	US
Telephone Number	:	972-792-5700
Fax Number	:	214-506-1170

Provider Business Practice Location Address
First Line	:	2821 E PRESIDENT GEORGE BUSH HWY STE 510
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-4278
Country	:	US
Telephone Number	:	972-664-0404
Fax Number	:	972-664-9797

Authorized Official
Title or Position	:	OWNER
Name	:	MARK BRICKEY
Credential	:	MD
Telephone Number	:	817-680-8824

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	01/22/2026

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