Individual provider Active NPI

Bryan C Hicks, MD

  • Dermatopathology Physician
  • Ocala, FL
National Provider Identifier
1821086752
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
ME47583 Issued in FL
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000780 FL Practitioner - Dermatology 7719993252 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
96.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision82
Removal of tissue1-10
Removal of skin lesions652
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME47583FLMDDermatology Physician
ME47586FLMDClinical & Laboratory Dermatological Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Hicks MD PA Dermatology CurrentSince Jan 1, 2006 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.

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

Verify at the official NPI Registry.