| Dr Brent G Nichols, MD | |
|
801 Broadway N, Fargo, ND 58102-3641 | |
| (701) 234-2000 | |
| Not Available |
| Full Name | Dr Brent G Nichols |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 15 Years |
| Location | 801 Broadway N, Fargo, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275858714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 13649 (North Dakota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent G Nichols, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Dr Brent G Nichols, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2000 |
Morgan Lien, PA Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2441 Fax: 701-234-2606 | |
Dr. Dionisio Teng Libi, Otolaryngology Medicare: Medicare Enrolled Practice Location: 5005 Meadow Creek Dr S, Fargo, ND 58104 Phone: 701-235-0414 Fax: 701-235-0414 | |
Michael J Shinners, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-2345 | |
James W Nagle, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2441 | |
Alan D Bruns, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1702 University Dr S, Fargo, ND 58103 Phone: 701-364-3300 Fax: 701-364-8906 | |
Jeffrey C Reynolds, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 737 Broadway N, Fargo, ND 58122 Phone: 701-234-4811 Fax: 701-234-6979 |