DR. MICHAEL ANDREW BRESTICKER M.D. NPI 1871595504

NPI Information

  • NPI: 1871595504
  • Provider Name: DR. MICHAEL ANDREW BRESTICKER, M.D.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 N ACADEMY AVE
    DANVILLE, PA
    ZIP 17822
  • Phone: (570) 271-6367

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NPI Details

DR. Michael Andrew Bresticker, M.D. is a thoracic surgery cardiothoracic vascular surgery in Danville, PA with 39 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Michael Andrew Bresticker, M.D. NPI is 1871595504. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

100 N ACADEMY AVE
DANVILLE, PA
ZIP 17822-361
Phone: (570) 271-6367
Fax: (570) 271-7142

The NPI 1871595504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Harvest of vein using an endoscope (HCPCS:33508)
  • Coronary artery bypass using vein or artery graft, 2 grafts (HCPCS:33518)
  • Replacement of aortic valve on heart-lung machine (HCPCS:33405)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)

The enumeration date for this NPI number is 8/12/2005 and was last updated on 10/22/2019.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)01048626AINDIANANo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)55608-20WISCONSINNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)036-079877ILLINOISNo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)MD049632LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200183480AMEDICAIDINDIANA
21871595504MEDICAIDMICHIGAN
3200183480EMEDICAIDINDIANA
4200183480DMEDICAIDINDIANA
5036079877MEDICAIDILLINOIS
6200183480BMEDICAIDINDIANA
7200183480CMEDICAIDINDIANA

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: 11/21/2025

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