Wellformed AI

NPI 1942497797 · live from the CMS NPI Registry

Brandi Nicole Hicks, MD

Radiology, Diagnostic Radiology in Stanford, CA. National Provider Identifier 1942497797, active.

NPI record

NPI1942497797 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location300 Pasteur Dr, Stanford, CA 94305
Practice phone650-723-4000
EnumeratedSeptember 25, 2007
Last updatedApril 9, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202X292927 (NY)
Radiology, Diagnostic Ultrasound2085U0001X036161109 (IL)
Radiology, Diagnostic Radiology primary2085R0202XC149162 (CA)
Radiology, Diagnostic Radiology2085R0202XMD-14767 (HI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.