Search › California › 111N00000X
Brian Icke, D.C
NPI 1396738084 · on the registry since 2005
Practice
- Address
- 1066 4th St
Suite B
Santa Rosa, CA 95404 - Phone
- (707) 545-1650
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California