Hicks, Adam Bradburn
Hicks, Adam Bradburn is an individual health care provider with primary practice located at 3601 Tvc , Nashville TN 37232-0001. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Hicks, Adam Bradburn can be contacted via phone (615) 322-3000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | '00317 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | DPM750 | Tennessee |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 00317 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DPM750 | Tennessee |
Profile Details
| NPI number | 1952542698 |
|---|---|
| LBN Legal business name | Hicks, Adam Bradburn |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2009 |
| Last updated | Mar 16th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952542698 | NPPES |
| Kentucky | Other | 1054697 | PASSPORT |
| Kentucky | Other | 80903453 | PASSPORT |
| Kentucky | Other | 50030378 | PASSPORT |
| Kentucky | MEDICAID | 7100092710 | PASSPORT |
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