Warren R Nickerson, MD
General Practice in Brockton, Massachusetts
1750611794- Practice location
- 1 Pearl St, Brockton, MA 02301-2864
- Phone
- 508-584-4107
- Fax
- —
- Last updated
- June 3, 2014
Warren Russell Nickerson is a General Practice based in Brockton, MA. Warren Russell Nickerson practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Warren Russell Nickerson is 1750611794 and holds a License No. 29149 (MA). The current practice location address for Warren Russell Nickerson is 1 Pearl St, Brockton, MA 02301-2864 and can be reached out via phone at 508-584-4107.
Provider Profile Details
- NPI Number
- 1750611794
- Provider Name
- Warren Russell Nickerson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Pearl St, Brockton, MA 02301-2864
- Phone Number
- 508-584-4107
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 13, 2010
- Last Update Date
- June 3, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Pearl St
Brockton, MA 02301-2864 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-2864
- Phone Number
- 508-584-4107
Provider Business Mailing Address Details
- Address
- 24 Hannah Circle
Cotuit, MA 02635 - City
- Cotuit
- State
- MA
- Zip
- 02635
- Phone Number
- 508-428-2085
License Information
- License Number
- 29149
- License State
- MA
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Brockton, MA
View all General Practice providers in Brockton →Frequently Asked Questions
What is the NPI number of Warren R Nickerson, MD?
The NPI number of Warren R Nickerson, MD is 1750611794. It was assigned on January 13, 2010 and is currently active in the NPPES registry.
What is the specialty of Warren R Nickerson, MD?
Warren R Nickerson, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in MA under license number 29149.
Where does Warren R Nickerson, MD practice?
The practice location is 1 Pearl St, Brockton, MA 02301-2864. The office can be reached at 508-584-4107 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750611794 directly on the NPPES registry website.