BRAD MICHAEL RICKABAUGH DO NPI 1417385881

NPI Information

NPI: 1417385881
Provider Name: BRAD MICHAEL RICKABAUGH, DO
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Address:
100 N ACADEMY AVE
DANVILLE, PA
ZIP 17822
Phone: (570) 271-6812
Get Directions

Brad Michael Rickabaugh, DO is an emergency medical services emergency medicine in Danville, PA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Brad Michael Rickabaugh, DO NPI is 1417385881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 N ACADEMY AVE
DANVILLE, PA
ZIP 17822-800
Phone: (570) 271-6812
Fax: (570) 214-9442

The enumeration date for this NPI number is 10/23/2013 and was last updated on 5/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	OT021603	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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