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NPI Code Detail

MEDICARE: BETHANY BRIKMANIS PNP-PC

MEDICARE: BETHANY BRIKMANIS PNP-PC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.17594OH
2363LP0200XPediatric Nurse PractitionerCOA 17594-NPOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568846186
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY BRIKMANIS PNP-PC
Provider Business Mailing Address
First Line : 970 W WOOSTER ST RM 130
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2652
Country : US
Telephone Number : 419-352-6890
Fax Number : 740-455-5155
Provider Business Practice Location Address
First Line : 970 W WOOSTER ST RM 130
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2652
Country : US
Telephone Number : 419-352-6890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2015
Last Update Date : 03/12/2026

Similar Medicare Providers

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Practice Location Address:
970 W WOOSTER ST RM 130
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1023412079 — JESSICA L BOSTATER CPNP
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1023580339 — LYNNE ZACHMAN CNP
Practice Location Address:
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1962030536 — CLAIRE ELISE NATSIOS MD
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1265411219 — DR. KEVIN MICHAEL GASIOROWSKI O.D.
Practice Location Address:
39 GREEN ST
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01950-2652
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Practice Fax: 978-465-6228

Directions to “ BETHANY BRIKMANIS PNP-PC” Practice Location

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