Paul Derrick Bickford, D.C.
Individual provider Active NPI Chiropractor · Hilo, HI
NPI 1770538357 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770538357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-1036 (HI)
- Practice address
- 120 Pauahi St
Suite 310
Hilo, HI 96720-3067 - Phone
- (808) 933-9191
- Fax
- (808) 933-9292
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-1036 | HI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bickford Chiropractic LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-1036 | HI | Yes |
Addresses
Primary practice location
120 Pauahi St
Suite 310
Hilo, HI 96720-3067
Mailing address
120 Pauahi St
Suite 310
Hilo, HI 96720-3067
Phone (808) 933-9191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101447 | Other | HI | PIN |
| 101446 | Other | HI | GROUP PIN |
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.