Brian S. Hicks D.C. Inc PC
Organization Active NPI Chiropractor · Bixby, OK
NPI 1265601900 · NPPES record last updated Dec 8, 2008
Key facts
- NPI
- 1265601900
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3715 (OK)
- Legal business name
- BRIAN S. HICKS D.C. INC PC
- Practice address
- 7100 E 151St St S
Bixby, OK 74008-4137 - Phone
- (918) 366-4461
- Fax
- (918) 366-4460
- NPI assigned
- Feb 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian Scott Hicks, D.C.
- Title
- Owner/Doctor
- Phone
- (918) 366-4461
Corporate family (same tax ID) 1
Practitioners 4
-
Brent Alan West, DC
-
Matthew Bryan Biddle, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081007000271 | OK | Part B Supplier - Clinic/Group Practice | 0042388837 |
Receives reassigned benefits from 3 practitioners Practice locations: Bixby, OK; Sapulpa, OK |
National Provider Directory
- Tax ID family
- Bixby Chiropractic Clinic
Locations
7100 E 151st St S
#C
Bixby, OK 74008
Phone (918) 366-4461
7100 E 151st St S
Bixby, OK 74008
Phone (918) 227-2788
1020 E Taft Ave
Sapulpa, OK 74066
Phone (918) 227-2788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3715 | OK | Yes |
Addresses
Primary practice location
7100 E 151St St S
Bixby, OK 74008-4137
Mailing address
7100 E 151St St S
Bixby, OK 74008-4137
Phone (918) 366-4461
Other names
- Bixby Chiropractic Clinic
Other providers in Bixby, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.