Individual
DR. ADAM BRADBURN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
'00317
KY
213E00000X
Podiatrist
Primary
DPM750
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
00317
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
DPM750
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054697
PASSPORT
KY
01
—
50030378
PASSPORT
KY
05
—
7100092710
—
KY
01
—
80903453
MEDICAID DME
KY
Enumeration date
03/10/2009
Last updated
03/16/2022
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