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

Austin Brock Vickrey, PA

Individual provider Physician Assistant · NPI 1174251334

Austin Brock Vickrey, PA is a Physician Assistant in Cincinnati, Ohio. Qualified in 2022, 4 years ago. Practices with University of Cincinnati Physicians Company LLC, a 1,476-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
4
Licensed in
KY, OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5819 Juvene Way
Cincinnati, OH 45233-4731
Phone: (513) 335-2856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3132 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 50.007606RX (OH)

Record details

NPI number1174251334
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Of Cincinnati Physicians Company Llc — 1476 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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