NPIMap

Individual provider Active NPI

Brandon Clark Hicks, M.D.

  • Diagnostic Radiology Physician
  • Harrison, AR
National Provider Identifier
1881867398
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-8682 Issued in AR
Practice address
620 N Main St
Harrison, AR 72601-2911
Phone
(501) 686-8000
NPI assigned
Apr 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E-8682 AR Primary

Addresses

Primary practice location

620 N Main St
Harrison, AR 72601-2911

Mailing address

219 Landon LN
Harrison, AR 72601-1814
Phone (501) 240-4096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141022000276 AR Practitioner - Diagnostic Radiology 9931320629 Reassigns benefits to 3 organizations
I20221123002676 MO Practitioner - Diagnostic Radiology 9931320629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arkansas College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resort Radiology, PLLCGroup PAC ID 0042648420, 5 clinicians
Arkansas Specialty Radiology PLLCGroup PAC ID 8325047236, 4 clinicians
Radiology Associates of the Ozarks, PLLCGroup PAC ID 4880901578, 3 clinicians

Practice addresses (Care Compare)

120 Adcock Rd
Hot Springs, AR 71913-7958
Phone (866) 601-8435

4300 Landers Rd
North Little Rock, AR 72117-2525
Phone (866) 601-8435

620 N Mail St
Harrison, AR 72601-2911
Phone (870) 414-4231

800 Hwy 248
Suite 2F
Branson, MO 65616-4078
Phone (800) 962-0093

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-8682ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of the Ozarks, PLLC Diagnostic Radiology CurrentSince Jun 6, 2015 Accepting new patients
Arkansas Specialty Radiology, PLLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Resort Radiology, PLLC Diagnostic Radiology CurrentSince Dec 27, 2021 Accepting new patients
Clearview Digital Image LLC Past Accepting new patients
Clearview Digital Image LLC Past Accepting new patients

Locations

620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

120 Adcock Rd
#B
Hot Springs, AR 71913
Phone (501) 767-1538

120 Adcock Rd
Hot Springs, AR 71913
Phone (866) 601-8435

4300 Landers Rd
North Little Rock, AR 72117
Phone (501) 771-1600

800 State Highway 248
Ste 2F
Branson, MO 65616
Phone (417) 324-7672

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1881867398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 LANDON LN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011814",
            "telephone_number": "501-240-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012911",
            "telephone_number": "501-686-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "BRANDON",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-8682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.