- Practice location
- 7259 S Bingham Junction Blvd, Midvale, UT 84047-4860
- Phone
- 801-264-6400
- Fax
- —
- Last updated
- June 5, 2026
Nicholas Michael Absalom is a Psychiatry & Neurology, Neurology based in Midvale, UT. Nicholas Michael Absalom practices in Midvale, UT and has the professional credentials of MD. The NPI Number for Nicholas Michael Absalom is 1770744112 and holds a License No. 2020003928 (MO). The current practice location address for Nicholas Michael Absalom is 7259 S Bingham Junction Blvd, Midvale, UT 84047-4860 and can be reached out via phone at 801-264-6400.
Provider Profile Details
- NPI Number
- 1770744112
- Provider Name
- Nicholas Michael Absalom
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 7259 S Bingham Junction Blvd, Midvale, UT 84047-4860
- Phone Number
- 801-264-6400
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 18, 2008
- Last Update Date
- June 5, 2026
- Certification Date
- June 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7259 S Bingham Junction Blvd
Midvale, UT 84047-4860 - City
- Midvale
- State
- Utah
- Zip
- 84047-4860
- Phone Number
- 801-264-6400
Provider Business Mailing Address Details
- Address
- 8750 Mediterranean Dr
Dallas, TX 75238-3742 - City
- Dallas
- State
- TX
- Zip
- 75238-3742
- Fax Number
- 239-208-3994
License Information
- License Number (1)
- 2020003928
- License State (1)
- MO
- Taxonomy (1)
- Psychiatry & Neurology, Neurology · 2084N0400X
- License Number (2)
- 036148630
- License State (2)
- IL
- Taxonomy (2)
- Psychiatry & Neurology, Neurology · 2084N0400X
- License Number (3)
- 310721
- License State (3)
- LA
- Taxonomy (3)
- Psychiatry & Neurology, Neurology · 2084N0400X
- License Number (4)
- MC-0602
- License State (4)
- ID
- Taxonomy (4)
- Psychiatry & Neurology, Neurology · 2084N0400X
- License Number (5)
- MD185800
- License State (5)
- OR
- Taxonomy (5)
- Psychiatry & Neurology, Neurology · 2084N0400X
- License Number (6)
- ME134160
- License State (6)
- FL
- Taxonomy (6)
- Psychiatry & Neurology, Neurology · 2084N0400X
- License Number (7)
- P0329
- License State (7)
- TX
- Taxonomy (7)
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Neurology providers near Midvale, UT
View all Psychiatry & Neurology, Neurology providers in Midvale →Frequently Asked Questions
What is the NPI number of Nicholas M Absalom, MD?
The NPI number of Nicholas M Absalom, MD is 1770744112. It was assigned on June 18, 2008 and is currently active in the NPPES registry.
What is the specialty of Nicholas M Absalom, MD?
Nicholas M Absalom, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in MO under license number 2020003928.
Where does Nicholas M Absalom, MD practice?
The practice location is 7259 S Bingham Junction Blvd, Midvale, UT 84047-4860. The office can be reached at 801-264-6400 (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 1770744112 directly on the NPPES registry website.