Active NPI
Brandi Nicole Hicks, MD
- Diagnostic Radiology Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- C149162
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Sep 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 292927 | NY | |
| Diagnostic Ultrasound Physician | 2085U0001X | 036161109 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | C149162 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD-14767 | HI |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
1 Jarrett White Rd
Tamc
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-2778
Other practice location 2
611 W Park St
Urbana, IL 61801-2529
Phone (217) 383-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, IL, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Richland Memorial Hospital Inc
Practice addresses (Care Compare)
1189 Waimanu St
Apt 2305
Honolulu, HI 96814-4175
Phone (217) 902-5291
1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000
1523 Mokulua Dr
Kailua, HI 96734-3255
Phone (520) 370-1905
200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
2230 Liliha St
Suite 106
Honolulu, HI 96817-7357
Phone (809) 949-0091
3024 E Empire St
Bloomington, IL 61704-5402
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340
900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000
Hospital & facility affiliations
- Carle Foundation Hospital
- St. George Regional Hospital
- Carle Bromenn Medical Center
- Intermountain Medical Center
- Carle Richland Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C149162 | CA | MD | Diagnostic Radiology Physician |
| MD-14767 | HI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Kirby Medical Center | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Zwanger & Pesiri Radiology Group, LLP | Diagnostic Radiology | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Hawaii Diagnostic Radiology Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Ihc Health Services Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations (25 of 33)
2228 Liliha St
Ste 305
Honolulu, HI 96817
Phone (808) 521-4344
2230 Liliha St
Ste 106
Honolulu, HI 96817
Phone (808) 949-0091
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
160 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 665-7240
1018 Suffolk Ave
Brentwood, NY 11717
763 Larkfield Rd
Commack, NY 11725
Phone (631) 462-0118
347 Middle Country Rd
Coram, NY 11727
Phone (631) 992-6403
2087 Deer Park Ave
Deer Park, NY 11729
Phone (631) 992-6401
285 Sills Rd
East Patchogue, NY 11772
Phone (631) 447-8300
326 Walt Whitman Rd
Huntington Station, NY 11746
Phone (631) 673-1001
23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693
625 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 288-3076
150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757
150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757
150 Sunrise Hwy
Lindenhurst, NY 11757
Phone (631) 957-3355
126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614
1729 N Ocean Ave
Medford, NY 11763
Phone (631) 289-4800
324 W 125th St
New York, NY 10027
1160 Pittsford Victor Rd
Ste D2
Pittsford, NY 14534
Phone (585) 218-8007
680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400
Interoperability endpoints
- bhicksmd351255@carlehiedirect.net
Organizations & group practices 19
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.
-
- Diagnostic Radiology Physician
- Honolulu, HI
- NPI 1386714962
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Family Medicine Physician
- Monticello, IL
- NPI 1386635373
-
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- Diagnostic Radiology Physician
- Lindenhurst, NY
- NPI 1477523413
HI
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1568416147
HI
-
- Critical Access Hospital
- Monticello, IL
- NPI 1730179847
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1942497797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_2": "TAMC",
"address_purpose": "LOCATION",
"city": "Tripler Army Medical Center",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-2778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "611 W Park St",
"address_purpose": "LOCATION",
"city": "Urbana",
"state": "IL",
"postal_code": "618012529",
"country_code": "US",
"telephone_number": "217-383-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "BRANDI",
"middle_name": "NICOLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "292927",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "IL",
"license": "036161109",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "C149162",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD-14767",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.