BRYAN HICKS
NPI 1093265795
Student in an Organized Health Care Education/Training Program in Wilkes Barre, PA

Active since October 06, 2016
133 N RIVER ST, WILKES BARRE, PA 18711(570) 208-5900 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bryan Hicks NPPES

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

BRYAN HICKS (NPI 1093265795) is an individual student in an organized health care education/training program in Wilkes Barre, Pennsylvania and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1093265795
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRYAN HICKS
Location Address133 N RIVER STWilkes Barre, PA 18711-0800
Mailing Address133 N River StWilkes Barre, PA 18711-0800
Sole ProprietorNo
Enumeration DateOctober 6, 2016
NPI 1093265795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
133 N RIVER ST, Wilkes Barre, PA 18711

Other Providers at the Same Location NPPES 20

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

Specialist/Technologist (Athletic Trainer)
133 N RIVER ST
WILKES BARRE, PA 18711
Specialist/Technologist (Athletic Trainer)
133 N RIVER ST
WILKES BARRE, PA 18711
Specialist/Technologist (Athletic Trainer)
133 N RIVER ST
WILKES BARRE, PA 18711
Clinic/Center (Student Health)
133 N RIVER ST
WILKES BARRE, PA 18711
Specialist/Technologist (Athletic Trainer)
133 N RIVER ST
WILKES BARRE, PA 18711
Physician Assistant
133 N RIVER ST
WILKES BARRE, PA 18711
Student in an Organized Health Care Education/Training Program
133 N RIVER ST, BOX NUMBER 2110
WILKES BARRE, PA 18711
Student in an Organized Health Care Education/Training Program
133 N RIVER ST
WILKES BARRE, PA 18711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093265795, enumerated as an "individual" on October 06, 2016.

The provider is located at 133 N RIVER ST WILKES BARRE, PA 18711 and the phone number is (570) 208-5900.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.