Bradley Robert Nicol
Medical Specialty
Professional ID
- NPI: 1669447488
- PECOS ID: 2961560651
- Enrollment ID: I20101208001342
- Credential(MD, DO, DPM):
- Medical School: University Of Wisconsin Medical School
- Medical School Graduation Year: 1996
Hospital Service
- Hospital CCN1: 030023
- Business Name (LBN)1: Flagstaff Medical Center
- Hospital CCN2: 030007
- Business Name (LBN)2: Verde Valley Medical Center
- Hospital CCN3: 030062
- Business Name (LBN)3: Summit Healthcare Regional Medical Center
- Hospital CCN4: 030012
- Business Name (LBN)4: Yavapai Regional Medical Center
- Hospital CCN5: 031315
- Business Name (LBN)5: White Mountain Regional Medical Center
Medical Practices
- Organization Name: Flagstaff Neurosurgery Pllc
- Group Practice ID assigned by PECOS: 7618116799
- Number of Group Practice member: 2
Location
- Address1: 1300 N Rim Dr A
- Address2:
- City: Flagstaff
- State: Arizona
- Zip Code: 86001
- Phone Number: (928)226-7667
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):