Dr. Jesper Brickley, DO
Family Medicine in Townshend, VT. Individual provider (NPI-1).
NPI number1194081737
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1194081737
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jesper Brickley
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2012
- Certification date
- Dec 31, 2024
- Last updated
- Dec 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 032.0110481 | VT | Yes |
Other names
- Jesper Jerome Brickley (Other Name)
Practice location
185 Grafton RoadTownshend, VT 05353
Phone 802-365-7357
Mailing address
185 Grafton RoadTownshend, VT 05353
Phone 802-365-7357
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