MRS. BRANDI LINETTE HICKS (NPI# 1740331024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740331024 |
| Entity Type | Individual |
| Full Name | MRS. BRANDI LINETTE HICKS |
| Credential | R.N., C.R.N.P. |
| Practice Address |
47053 Al Highway 277 Suite C Bridgeport AL 35740-7205 |
| Practice Telephone | 2564370555 |
| Practice Fax Number | 2564370404 |
| Mailing Telephone | 2564370555 |
| Mailing Fax Number | 2564370404 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1-090559 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508361874 | Brandi Hicks | Case Manager/Care Coordinator | 2502 Crossroads Dr, Ardmore, OK 73401-2503 | 2018-03-28 |
| 1942497797 | Brandi Hicks | Radiology | 1 Jarrett White Rd, Tamc, Tripler Army Medical Center, HI 96859-5001 | 2007-09-25 |
| Street Address |
47053 AL HIGHWAY 277 SUITE C |
| City | BRIDGEPORT |
| State | AL |
| Zip Code | 35740-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386075976 | Tennessee Valley Family Practice Associates PC | Family Medicine | 47053 Al Highway 277, Suite C, Bridgeport, AL 35740-7205 | 2013-12-06 |
| 1033372867 | Bridgeport Pain Clinic | Clinic/Center | 47053 Al Highway 277, Suite B, Bridgeport, AL 35740-7205 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912312232 | Paige Cloud | Pharmacist | 50452 Al Hwy 277, Bridgeport, AL 35740 | 2014-06-25 |
| 1508062423 | Bridgeport Family Practice Obgyn Clinic | Family Medicine | 615 Kendall Ave, Bridgeport, AL 35740 | 2007-06-26 |
| 1861597114 | Jackson County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 47065 Alabama Hwy 277, Bridgeport, AL 35740 | 2006-09-13 |
| 1851624407 | B & L Drugs Inc | Pharmacy | 50452 Al Highway 277, Bridgeport, AL 35740-6517 | 2009-09-15 |
| 1124174917 | Laxmi LLC | Family Medicine | 47005 Al Highway 277, Bridgeport, AL 35740-7205 | 2007-01-26 |
| 1760505887 | Vinai Montricul | Family Medicine | 47910 Al Highway 277, Bridgeport, AL 35740-7206 | 2007-04-06 |
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528148 | Jordan Renee Morrison | Technician/Technologist | 139 Conference Center Way Ste 121, Bridgeport, WV 26330-9147 | 2020-11-05 |
| 1528666955 | Emily Mariah Wolf | Counselor | 1154 Walnut Grove Rd, Bridgeport, NY 13030-9760 | 2020-10-16 |
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1710584305 | Ryan Abraham Labean | Behavior Technician | 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722 | 2020-10-06 |
| 1609483411 | Michelle Ribas Alves | Behavioral Analyst | 620 Peet St, Bridgeport, CT 06606-2731 | 2020-09-25 |
| 1629684410 | Far Rahman | Nutritionist | 386 Myrtle Ave, Bridgeport, CT 06604-5443 | 2020-09-17 |
| 1093321044 | Linda L Link | Private Vehicle | 53205 Poplar Drive, Stobbs Estates, Bridgeport, OH 43912 | 2020-09-16 |
| 1457965113 | Cassandra Dewees | Case Manager/Care Coordinator | 70259 Sunset Hts, Bridgeport, OH 43912-8726 | 2020-09-01 |
| 1437763166 | Emily Ann Haws | Case Manager/Care Coordinator | 203 Willow Greene Dr, Bridgeport, WV 26330-7974 | 2020-09-01 |
| Find all providers in BRIDGEPORT | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720617889 | Keri Bedillion | Physician Assistant | 527 Medical Park Dr Ste 306, Bridgeport, WV 26330-9010 | 2020-04-02 |
| 1114583291 | Steven K Struthers | Physician Assistant | 93 Lance Cir, Bridgeport, CT 06606-1046 | 2019-05-14 |
| 1588229645 | Alexander Daniel Ohlson | Physician Assistant | 46 Newton St, Bridgeport, CT 06605-3306 | 2019-05-04 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1861821209 | Andrea Megan Deloera | Physician Assistant | 808 Ww Ray Cir, Bridgeport, TX 76426-2061 | 2013-11-06 |
| 1093023681 | Robert Joseph Scherl | Physician Assistant | Bldg #3005 S.r. 108, Naval Hospital Branch Clinic, Bridgeport, Bridgeport, CA 93517 | 2010-09-17 |
| 1457480022 | James D Stalnaker | Physician Assistant | 527 Medical Park Dr Ste 401, Bridgeport, WV 26330-9010 | 2007-03-02 |
| 1114033867 | William Douglas Todd | Physician Assistant | 221 Twin Lakes Road, Bridgeport, CA 93517-0535 | 2006-08-22 |
| 1821103862 | Melissa Ann Shaw | Physician Assistant | 267 Grant Street, Dept of Pediatrics, Bridgeport, CT 06610 | 2006-08-20 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 35740 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.