Healthcare Provider Details
I. General information
NPI: 1487563227
Provider Name (Legal Business Name): BRICK MAN MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7910 N QUAMISH DR
SPOKANE WA
99208-9262
US
IV. Provider business mailing address
7910 N QUAMISH DR
SPOKANE WA
99208-9262
US
V. Phone/Fax
- Phone: 509-471-1466
- Fax: 509-315-8402
- Phone: 509-471-1466
- Fax: 509-315-8402
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
BRANDON
WICHMAN
Title or Position: OWNER
Credential:
Phone: 509-471-1466