Bradley William Nicholson, MD is a
Surgery physician based in Stuart, Virginia. Bradley William Nicholson is licensed to practice in Virginia (license number 0101030962) and his current practice location is 18877 Jeb Stuart Hwy, Stuart, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 694-4466.
NPI number for Bradley William Nicholson is 1144227836 and his current mailing address is Po Box 1019, Stuart, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144227836.
Physician's Profile
| Full Name | Bradley William Nicholson |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 18877 Jeb Stuart Hwy, Stuart, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144227836
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Bradley William Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144227836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 0101030962 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley William Nicholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bradley William Nicholson, MD
Po Box 1019,
Stuart, VA 24171-1019
Ph: (276) 694-4466 | Bradley William Nicholson, MD
18877 Jeb Stuart Hwy,
Stuart, VA 24171
Ph: (276) 694-4466 |
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