Organization Active NPI

Bryan L. Ricks, M.D.

  • Family Medicine Physician
  • Carson City, NV
National Provider Identifier
1669669990
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9435 Issued in NV
Legal business name
BRYAN L. RICKS, M.D.
Practice address
2874 N Carson St
Suite 135
Carson City, NV 89706-0177
Phone
(775) 883-7855
Fax
(775) 883-6531
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Bryan L. Ricks, M.D.
Title
Owner
Phone
(775) 884-2455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 9435 NV
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 9435 NV Primary

Addresses

Primary practice location

2874 N Carson St
Suite 135
Carson City, NV 89706-0177

Mailing address

PO Box 21530
Carson City, NV 89721-1530
Phone (775) 884-2455

National Provider Directory

National Provider Directory

Locations

2874 N Carson St
Ste 135
Carson City, NV 89706
Phone (775) 883-7855

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1669669990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21530",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897211530",
            "telephone_number": "775-884-2455",
            "fax_number": "775-884-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 N CARSON ST",
            "address_2": "SUITE 135",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060177",
            "telephone_number": "775-883-7855",
            "fax_number": "775-883-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN L. RICKS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-884-2455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "9435",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.