Active NPIIndividual provider

Nicholas M Absalom, MD

Psychiatry & Neurology, Neurology in Midvale, Utah

NPI Number1770744112
Practice location
7259 S Bingham Junction Blvd, Midvale, UT 84047-4860
Fax
—
Last updated
June 5, 2026

Nicholas M Absalom, MD is a Psychiatry & Neurology, Neurology based in Midvale, UT. Nicholas M Absalom, MD holds the professional credentials of MD. The NPI number for Nicholas M Absalom, MD is 1770744112 and holds license No. 2020003928 (MO). The current practice location address is 7259 S Bingham Junction Blvd, Midvale, UT 84047-4860 and the office can be reached by phone at 801-264-6400. The NPI was assigned on June 18, 2008 and the record was last updated in NPPES on June 5, 2026.

●Provider Profile Details

NPI Number
1770744112
Provider Name
Nicholas Michael Absalom
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
No
Enumeration Date
June 18, 2008
Last Update Date
June 5, 2026
Certification Date
June 5, 2026
NPI Status
Active

◉Business Practice Location Address

Address
7259 S Bingham Junction Blvd
Midvale, UT 84047-4860
State
Utah
ZIP
84047-4860
Country
US
Phone Number
801-264-6400

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✉Business Mailing Address

Address
8750 Mediterranean Dr
Dallas, TX 75238-3742
City
Dallas
State
TX
ZIP
75238-3742
Fax Number
239-208-3994

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Psychiatry & Neurology, Neurology2084N0400XNo2020003928MO
Psychiatry & Neurology, Neurology2084N0400XNo036148630IL
Psychiatry & Neurology, Neurology2084N0400XNo310721LA
Psychiatry & Neurology, Neurology2084N0400XNoMC-0602ID
Psychiatry & Neurology, Neurology2084N0400XNoMD185800OR
Psychiatry & Neurology, Neurology2084N0400XNoME134160FL
Psychiatry & Neurology, Neurology2084N0400XYesP0329TX

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?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) and holds license No. 2020003928 (MO).

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 at npiregistry.cms.hhs.gov.

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