Dr. Gregory Michael Bricca
Dermatologist MOHS-Micrographic Surgeon
9269 Sierra College Blvd
Roseville
, California 95661
Dr. Gregory Michael Bricca
Dermatologist MOHS-Micrographic Surgeon
9269 Sierra College Blvd
Roseville
, California 95661
(916) 772-5685
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gregory Michael Bricca
- 9269 Sierra College Blvd
- Roseville, CA
- Zip : 95661
- Fax : (916) 772-5685
- Phone : (916) 772-1585
Second Address
- Dr. Gregory Michael Bricca
- 9269 Sierra College Blvd
- Roseville, CA
- Zip : 95661
- Fax : (916) 772-5685
- Phone : (916) 772-1585
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | A70396 | CA |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | A70396 | CA |
National Provider Identifier
| NPI | 1184628000 |
|---|---|
| Provider Name | Dr. Gregory Michael Bricca |
| First Address | Roseville, CA 95661 |
| Second Address | Roseville, CA 95661 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2005 |
| Last Update Date | 03/11/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A703962 | MEDICARE (01) | CA |
| BB6615631 | DEA (01) | CA |
| H78162 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.