DR. BRYAN RUSSELL HICKAM DC
NPI 1053104067
Chiropractor in Bozeman, MT

Active since May 23, 2025
2405 W MAIN ST STE 8, BOZEMAN, MT 59718(406) 219-2462 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bryan Russell Hickam Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYAN RUSSELL HICKAM DC (NPI 1053104067) is an individual chiropractor in Bozeman, Montana, licensed in Montana (CHI-CHI-LIC-9409) and active in the NPI registry since May 2025. He maintains a secondary practice location in Belgrade and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053104067
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRYAN RUSSELL HICKAMCredential: DC
Location Address2405 W MAIN ST STE 8Bozeman, MT 59718-3978
Mailing Address8757 Jackrabbit Ln Ste ABelgrade, MT 59714-8994 · (406) 388-9915
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 23, 2025
NPPES CertifiedMay 6, 2025
NPI 1053104067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MT · CHI-CHI-LIC-9409
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2405 W MAIN ST STE 8, Bozeman, MT 59718

Secondary Practice Location 1

Location 18757 Jackrabbit Ln Ste ABelgrade, MT 59714-8994 · Phone (406) 388-9915

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bryan Russell Hickam Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901377654
PECOS Enrollment IDI20260604000129

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2405 W MAIN ST STE 8
BOZEMAN, MT 59718

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Hickam's NPI number?

The NPI number for Bryan Hickam is 1053104067. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Bryan Hickam located?

Bryan Hickam practices at 2405 W Main St Ste 8, Bozeman, MT 59718. The listed phone number is (406) 219-2462.

What is Bryan Hickam's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bryan Hickam enrolled in Medicare?

Yes. Bryan Hickam is registered in the Medicare PECOS enrollment system.

What insurance does Bryan Hickam accept?

Health plans from Blue Cross and Blue Shield of Montana list Bryan Hickam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Hickam was last updated on May 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.