Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bricktown Medical Group PA

Organization Family Medicine Physician · NPI 1568567238

Bricktown Medical Group PA is a Family Medicine Physician in Brick, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

34 Lanes Mill Rd
Brick, NJ 08724
Phone: (732) 458-0300
Fax: (732) 458-8449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1568567238
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Riss — President · (732) 458-0300
NPI enumeratedSeptember 14, 2006
Last updated in NPPESFebruary 23, 2011
Mailing address34 Lanes Mill Rd, Brick, NJ 08724

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