Individual provider Active NPI

John Steven Bickham

  • Bus
  • Sugar Land, TX
National Provider Identifier
1194058875
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
BusTaxonomy code 347B00000X
License
05501680 Issued in TX
Practice address
1419 Pinecroft Dr
Sugar Land, TX 77498-2426
Phone
(281) 494-8982
Fax
(281) 494-0344
NPI assigned
Sep 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 05501680 TX
Bus 347B00000X 05501680 TX Primary

Addresses

Primary practice location

1419 Pinecroft Dr
Sugar Land, TX 77498-2426

Mailing address

1419 Pinecroft Dr
Sugar Land, TX 77498-2426
Phone (281) 494-8982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05501680TXMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1194058875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 PINECROFT DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982426",
            "telephone_number": "281-494-8982",
            "fax_number": "281-494-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 PINECROFT DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982426",
            "telephone_number": "281-494-8982",
            "fax_number": "281-494-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKHAM",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "05501680",
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "TX",
            "license": "05501680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.