Individual provider Active NPI

Brandi Nicole Hicks, MD

  • Diagnostic Radiology Physician
  • Stanford, CA
National Provider Identifier
1942497797
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C149162 Issued in CA
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

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, UT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161111000895 HI Practitioner - Diagnostic Radiology 0547421208 Reassigns benefits to 8 organizations
I20221003002872 IL Practitioner - Diagnostic Radiology 0547421208 Reassigns benefits to 6 organizations
I20251205000589 UT Practitioner - Diagnostic Radiology 0547421208 Reassigns benefits to 1 organization

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
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Hoopeston Community Memorial HospitalGroup PAC ID 3577456037, 142 clinicians
Richland Memorial Hospital IncGroup PAC ID 3870565732, shared by 7 NPIs, 107 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Hawaii Diagnostic Radiology Services LLCGroup PAC ID 0547253221, 16 clinicians

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 Hospital, Urbana, IL, CCN 140091
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021
  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • Carle Richland Memorial Hospital Hospital, Olney, IL, CCN 141355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C149162CAMDDiagnostic Radiology Physician
MD-14767HIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Dec 19, 2018 Accepting new patients
Kirby Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Carle West Physician Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Carle Health Care Incorporated CurrentSince Aug 1, 2022 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jul 27, 2022 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jul 27, 2022 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 21, 2025 Accepting new patients
Hawaii Diagnostic Radiology Services LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Advanced Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Kirby Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Ihc Health Services Inc Diagnostic Radiology CurrentSince Sep 21, 2025 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

  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.