BRENT RICKS DPM NPI 1457749939

NPI Information

NPI: 1457749939
Provider Name: BRENT RICKS DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1601 MCHENRY VILLAGE WAY STE 3
MODESTO, CA
ZIP 95350
Phone: (209) 380-7760
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BRENT RICKS DPM is a foot and ankle surgery podiatrist in Modesto, CA. BRENT RICKS DPM NPI is 1457749939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1601 MCHENRY VILLAGE WAY STE 3
MODESTO, CA
ZIP 95350-338
Phone: (209) 380-7760
Fax: (209) 526-3908

The provider's authorized official is Brent C Ricks .
The authorized official title is Ceo/chairman Of The Board and has the following contact phone number (209) 380-7760.

The enumeration date for this NPI number is 1/6/2015 and was last updated on 1/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E5055	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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