DR. BRETT DICKINSON (NPI# 1942287735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942287735 |
| Entity Type | Individual |
| Full Name | DR. BRETT DICKINSON |
| Credential | M.D. |
| Practice Address |
515 Maple Valley Dr Farmington MO 63640-1919 |
| Mailing Address |
211 Saint Francis Dr Medical Affairs Cape Girardeau MO 63703-5049 |
| Practice Telephone | 5737607920 |
| Practice Fax Number | 5737569597 |
| Mailing Telephone | 5733315583 |
| Mailing Fax Number | 5733315079 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2004030203 | MO | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 2004030203 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207380403 | 05 |
| Street Address |
515 MAPLE VALLEY DR |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730166505 | Rustico A Ramos | Family Medicine | 515 Maple Valley Dr, Farmington, MO 63640-1919 | 2005-12-22 |
| 1922569896 | Shannon Danielle Toole | Nurse Practitioner | 515 Maple Valley Dr, Farmington, MO 63640-1919 | 2019-03-25 |
| 1922233873 | Carla Prince Bolivar | Internal Medicine | 515 Maple Valley Dr, Farmington, MO 63640-1919 | 2009-05-21 |
| 1134300023 | Danielle Nicole Carron | Family Medicine | 515 Maple Valley Dr, Farmington, MO 63640-1919 | 2007-11-19 |
| 1255371944 | William D Johnson | Family Medicine | 515 Maple Valley Dr, Farmington, MO 63640-1919 | 2006-06-08 |
| 1164474557 | Karl D Killion | Family Medicine | 515 Maple Valley Dr, Farmington, MO 63640-1919 | 2006-05-16 |
| 1235180423 | Dennis E Sumski | Family Medicine | 515 Maple Valley Dr, Farmington, MO 63640-1919 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757915 | Tuta Sano Pllc | Family Medicine | 57 W Grove Creek Cir, Farmington, UT 84025-4732 | 2018-07-19 |
| 1063891570 | Jantzen T Slater | Family Medicine | 199 E. Main St., Farmington, AR 72730-3077 | 2015-05-29 |
| 1255759262 | Arthur Wiser | Family Medicine | 101 New Meadow Run Dr Dept Of, Farmington, PA 15437-1391 | 2014-04-07 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1457643835 | Saira Rani | Family Medicine | 406 Farmington Ave Ste 1, Farmington, CT 06032-1964 | 2011-05-04 |
| 1023310158 | Carson Wright | Family Medicine | 16 Munson Rd University of Connecticut, Correctional Managed Health Care, Farmington, CT 06030-5386 | 2010-11-22 |
| 1538471313 | Brett Blaser | Family Medicine | 140 N Union Ave, Ste F-300, Farmington, UT 84025-2953 | 2010-07-08 |
| 1427376300 | Sharon R. Wipf | Family Medicine | 103 New Meadow Run Drive, Farmington, PA 15437 | 2010-05-17 |
| 1609005693 | Vikas Vinodray Bhimani | Family Medicine | 23133 Orchard Lake Rd Ste 102, Farmington, MI 48336-3278 | 2009-07-10 |
| 1699901231 | Daniel Wilford Broadbent | Family Medicine | 991 Shepard Ln, Ste 200, Farmington, UT 84025-2972 | 2009-06-10 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on DR. BRETT DICKINSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.