Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1912957721 Deactivated / Inactive NPI Male Practitioner

John C. Brickner , ATC, LAT

Specialist • Wales, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Brickner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2006
NPI Deactivation Date February 10, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

John Brickner, ATC, LAT was a registered Specialist practicing in Wales, MA. Throughout an active medical career spanning 16 years, John Brickner provided care at the practice location at 47 STAFFORD HOLLAND RD until profile deactivation on 2022-02-10.

Practice Location & Contact Primary Location

Practice Address

47 Stafford Holland Rd

Wales, MA 010819710

Telephone 4132450408

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wales, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Wales, MA (1181 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 764

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 10, 2022

Record deactivated on February 10, 2022

NPI Profile Active February 24, 2016

NPI status registered as active in NPPES database

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Updated Practice Location February 24, 2016

Registered at 47 STAFFORD HOLLAND RD, WALES, MA 010819710 (Tel: 4132450408)

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Updated Business Mailing Address February 24, 2016

Registered at 47 STAFFORD HOLLAND RD, WALES, MA 010819710 (Tel: 4132450408)

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Provider Name / Credentials Updated February 24, 2016

Recorded as JOHN BRICKNER, A.T.C., L.A.T.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2016

Specialist (License #764 in MA)

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Initial NPI Registration & Enumeration May 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912957721
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2006
Last Update: February 24, 2016
Deactivation Date: February 10, 2022

Mailing Address

47 Stafford Holland Rd

Wales, MA 010819710

Phone: 4132450408

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.