Active NPI
Bryan C Hicks, MD
- Dermatopathology Physician
- Ocala, FL
National Provider Identifier
1821086752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- ME47583
- Practice address
- 5349 SW College Rd
Suite 2
Ocala, FL 34474-5717 - Phone
- (352) 368-5858
- Fax
- (352) 368-2044
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME47583 | FL | |
| Dermatology Physician | 207N00000X | ME47583 | FL | |
| Procedural Dermatology Physician | 207NS0135X | ME47583 | FL | |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | ME47586 | FL | |
| Dermatopathology Physician | 207ND0900X | ME47583 | FL | Primary |
Addresses
Primary practice location
5349 SW College Rd
Suite 2
Ocala, FL 34474-5717
Mailing address
5349 SW College Rd
Suite 2
Ocala, FL 34474-5717
Phone (352) 368-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Miami, LM Miller School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5349 SW College Rd
Suite 2
Ocala, FL 34474-5717
Phone (352) 368-5858
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.33 of 100
- Quality
- 96.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 82 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 652 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME47583 | FL | MD | Dermatology Physician |
| ME47586 | FL | MD | Clinical & Laboratory Dermatological Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Hicks MD PA | Dermatology | Current | Accepting new patients |
Locations
5349 SW College Rd
#2
Ocala, FL 34474
Phone (352) 368-5858
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Dermatology Physician
- Ocala, FL
- NPI 1396843942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1821086752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5349 SW COLLEGE RD",
"address_2": "SUITE 2",
"city": "OCALA",
"state": "FL",
"postal_code": "344745717",
"telephone_number": "352-368-5858",
"fax_number": "352-368-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5349 SW COLLEGE RD",
"address_2": "SUITE 2",
"city": "OCALA",
"state": "FL",
"postal_code": "344745717",
"telephone_number": "352-368-5858",
"fax_number": "352-368-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "BRYAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME47583",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME47583",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "ME47583",
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "FL",
"license": "ME47586",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "FL",
"license": "ME47583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.