Whalio Doctors

NPI 1053104067

Bryan Russell Hickam, DC

Practitioner Chiropractor Bozeman, MT

Practice location

Address
2405 W Main St STE 8, Bozeman, MT 59718-3978
Phone
(406) 219-2462
Mailing address
8757 Jackrabbit Ln STE a, Belgrade, MT 59714-8994

Registered specialties

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence CHI-CHI-LIC-9409 (MT)

Registry record

NPI
1053104067
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 May 2025
Record last updated
23 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.