Individual provider Active NPI

Brittney Renee Bicksler, D.O.

  • Family Medicine Physician
  • Bay Minette, AL
National Provider Identifier
1003229774
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1844 Issued in AL
Practice address
2002 Medical Center Dr
Bay Minette, AL 36507-4163
Phone
(251) 937-5377
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL36666 SC
Family Medicine Physician 207Q00000X 36666 SC
Obstetrics Physician 207VX0000X 1844 AL
Family Medicine Physician 207Q00000X 1844 AL Primary

Addresses

Primary practice location

2002 Medical Center Dr
Bay Minette, AL 36507-4163

Mailing address

2002 Medical Center Dr
Bay Minette, AL 36507-4163
Phone (251) 937-5377

Other identifiers 4

IdentifierTypeStateIssuer
366669MedicaidSC
SC80723365OtherSCMEDICARE PIN
SC80726121OtherSCMEDICARE PIN
SC80726067OtherSCMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820003616 AL Practitioner - Family Practice 2961791322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc North Baldwin Physician Group LLCGroup PAC ID 8426307729, 4 clinicians

Practice addresses (Care Compare)

2002 Medical Ctr Dr
Bay Minette, AL 36507-4163
Phone (251) 937-5377

Hospital & facility affiliations

  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1844ALMDMental Health Counselor
LL36666SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imc North Baldwin Physician Group LLC Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Gulf Health Hospitals, Inc. Past Accepting new patients

Locations

2002 Medical Center Dr
Bay Minette, AL 36507
Phone (251) 937-5377

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1003229774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL CENTER DR",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074163",
            "telephone_number": "251-937-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL CENTER DR",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074163",
            "telephone_number": "251-937-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKSLER",
        "first_name": "BRITTNEY",
        "middle_name": "RENEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL36666",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "36666",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AL",
            "license": "1844",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366669",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC80723365",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC80726121",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC80726067",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

Verify at the official NPI Registry.