Skip to main content
IndividualActive

Mr. Brian David Nichols

MPT ATC

Physical Therapist

NPI: 1679679088Star, Idaho, 83669(208) 286-0766Male

About Mr. Brian David Nichols

Mr. Brian David Nichols, MPT ATC, is a male healthcare professional specializing in Physical Therapist, registered under National Provider Identifier (NPI) number 1679679088. Mr. Brian David Nichols received his medical education at OTHER, graduating in 1996.

Their primary practice is located at 9652 W STATE STREET, Star, Idaho 83669. Patients can reach the office at (208) 286-0766. Mr. Brian David Nichols has been NPI-registered since 2006.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1679679088
Entity Type
Individual
First Name
Brian
Last Name
Nichols
Credential
MPT ATC
Gender
Male
Medical School
OTHER
Graduation Year
1996
Sole Proprietor
No
Status
active

Primary Practice Location

Address
9652 W STATE STREET
City
Star
State
Idaho
ZIP
83669-5858
Country
United States
Phone
(208) 286-0766
Fax
(208) 286-0768

Specialty & Taxonomy

Primary Specialty
Physical Therapist
Classification
Physical Therapist
Taxonomy Code
225100000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
9652 W STATE STREET
City
STAR
State
ID
ZIP
836695858

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Mr. Brian David Nichols's NPI number?
Mr. Brian David Nichols's National Provider Identifier (NPI) is 1679679088. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Brian David Nichols specialize in?
Mr. Brian David Nichols specializes in Physical Therapist. They received their medical education at OTHER (class of 1996).
Where is Mr. Brian David Nichols located?
Mr. Brian David Nichols practices at 9652 W STATE STREET, Star, Idaho 83669. You can reach them by phone at (208) 286-0766.
Does Mr. Brian David Nichols accept Medicare?
Based on available data, Mr. Brian David Nichols is not currently enrolled in the Medicare program.
Does Mr. Brian David Nichols offer telehealth or virtual visits?
Mr. Brian David Nichols does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Brian David Nichols is 1679679088.