DR. BRANDON CLARK HICKS (NPI# 1881867398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881867398 |
| Entity Type | Individual |
| Full Name | DR. BRANDON CLARK HICKS |
| Credential | M.D. |
| Practice Address |
620 N Main St Harrison AR 72601-2911 |
| Mailing Address |
219 Landon Ln Harrison AR 72601-1814 |
| Practice Telephone | 5016868000 |
| Mailing Telephone | 5012404096 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2015-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
E-8682 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063759025 | Brandon S Hicks | Pharmacist | 7700 Vaughn Rd, Montgomery, AL 36116-1337 | 2013-01-10 |
| 1679887756 | Brandon Clark Hicks | Optometrist | 755 S Telshor Blvd Ste 101c, Las Cruces, NM 88011-4644 | 2010-08-02 |
| 1194331892 | Brandon Hicks | Behavior Technician | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2020-09-17 |
| 1801301940 | Brandon Hicks | Occupational Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2017-12-12 |
| 1902279615 | Brandon Hicks | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2015-11-03 |
| 1528487642 | Brandon Lee Hicks | Physical Medicine & Rehabilitation | 1542 Tulane Ave, Box T4m-2, New Orleans, LA 70112 | 2014-04-16 |
| 1467716670 | Brandon L Hicks | Pharmacist | 1252 N Main Ave, Erwin, TN 37650-9122 | 2012-07-02 |
| 1104804491 | Brandon Hicks | Emergency Medicine | 1230 Baxter St, Athens, GA 30606-3712 | 2006-01-06 |
| Street Address |
620 N MAIN ST |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959389 | Miranda Lee Cornett | Dietitian, Registered | 620 N Main St, Harrison, AR 72601-2911 | 2020-10-13 |
| 1003389180 | Adam Patrick Sova | Dietitian, Registered | 620 N Main St, Harrison, AR 72601-2911 | 2019-01-10 |
| 1770068850 | Rachel May Bertrand | Nurse Practitioner | 620 N Main St, Harrison, AR 72601-2911 | 2018-09-25 |
| 1154809051 | North Arkansas Regional Medical Center | Family Medicine | 620 N Main St, Harrison, AR 72601-2911 | 2018-08-02 |
| 1376029041 | Michael S. Clarke, M.d., P.a. | Pathology | 620 N Main St, Harrison, AR 72601-2911 | 2018-07-16 |
| 1487144044 | North Arkansas Regional Medical Center | Family Medicine | 620 N Main St, Harrison, AR 72601-2911 | 2018-05-18 |
| 1942740204 | Narmc | General Acute Care Hospital | 620 N Main St, Harrison, AR 72601-2911 | 2017-03-06 |
| 1831640341 | North Arkansas Regional Medical Center | Behavioral Analyst | 620 N Main St, Harrison, AR 72601-2911 | 2016-10-19 |
| 1881143279 | North Arkansas Regional Medical Center | Anesthesiology | 620 N Main St, Harrison, AR 72601-2911 | 2016-09-26 |
| 1316327943 | Radiology Associates of The Ozarks, Pllc | Radiology | 620 N Main St, Harrison, AR 72601-2911 | 2015-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243560 | Medical Associates of Northwest Arkansas Pa | Radiology | 502 N Walnut St, Harrison, AR 72601-3616 | 2018-08-01 |
| 1679682868 | Paul Edward Berger | Radiology | 5171 S Seeweewana Ct, Harrison, ID 83833-6051 | 2006-08-30 |
| 1316327943 | Radiology Associates of The Ozarks, Pllc | Radiology | 620 N Main St, Harrison, AR 72601-2911 | 2015-06-09 |
| 1851310486 | Christopher Bennett | Radiology | 620 N Main St, Harrison, AR 72601-2911 | 2006-07-18 |
| 1891758405 | Radiology Associates of North Arkansas | Radiology | 620 N Main St, Harrison, AR 72601-2911 | 2006-04-07 |
| 1679572895 | Joseph Fakhry | Radiology | 600 Mamaroneck Ave, Harrison, NY 10528-1635 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668357 | Medical Associates of Northwest Arkansas, Pa | Radiology | 3901 Parkway Cir Ste 125, Springdale, AR 72762-6362 | 2020-10-30 |
| 1144853821 | Resort Radiology, Pllc | Radiology | 13107 Colonel Glenn Rd, Little Rock, AR 72210-2319 | 2020-02-20 |
| 1548813793 | Medcom Imaging, Inc. | Radiology | 11 Sherwood Ln, Clarksville, AR 72830-4500 | 2019-07-17 |
| 1750848552 | Tamesha Green | Radiology | 3204 Salinas De Hidalgo, North Little Rock, AR 72118-1167 | 2019-02-27 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1245626704 | Michael Platt | Radiology | 15 W Nottingham Ln, Rogers, AR 72758-9513 | 2015-04-11 |
| 1578982526 | John Clifton Faircloth | Radiology | 800 S Chuch St, Suite 101, Jonesboro, AR 72401 | 2014-04-07 |
| 1700211653 | Medical Associates of Northwest Arkansas Pa | Radiology | 3383 N Mana Ct Ste 102, Fayetteville, AR 72703-4965 | 2013-09-11 |
| 1083053615 | Caraway Medical Center | Radiology | 2929 S Caraway Rd Ste 1, Jonesboro, AR 72401-7335 | 2013-06-17 |
| 1134460280 | William T Shultz | Radiology | 908 Redbud Dr, Mena, AR 71953-2537 | 2013-03-13 |
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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.