NPIMap

Individual provider Active NPI

Gregory B. Bickham, D.C.

  • Chiropractor
  • Hammond, LA
National Provider Identifier
1366734600
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1577 Issued in LA
Practice address
1004 E Thomas St
Hammond, LA 70401-2737
Phone
(985) 365-0001
Fax
(985) 345-5528
NPI assigned
May 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1577 LA Primary

Addresses

Primary practice location

1004 E Thomas St
Hammond, LA 70401-2737

Mailing address

1004 E Thomas St
Hammond, LA 70401-2737
Phone (985) 365-0001

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Health Center of Hammond L.L.C. Chiropractor PastSince Dec 12, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1366734600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012737",
            "telephone_number": "985-365-0001",
            "fax_number": "985-345-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012737",
            "telephone_number": "985-365-0001",
            "fax_number": "985-345-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKHAM",
        "first_name": "GREGORY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.