BRAD NANIGIAN MD
NPI 1205807484
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
7373 WEST LN, SURGERY CLINIC, STOCKTON, CA 95210(209) 476-2120 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brad Nanigian Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAD NANIGIAN MD (NPI 1205807484) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2000).

NPPES Registry Identity

NPI1205807484
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRAD NANIGIANCredential: MD
Location Address7373 WEST LN, SURGERY CLINICStockton, CA 95210-3377
Mailing Address5232 U StSacramento, CA 95817-1646 · (916) 456-5676
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2000
Enumeration DateJanuary 27, 2006
Last NPPES UpdateFebruary 11, 2022
NPI 1205807484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7373 WEST LN, Stockton, CA 95210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brad Nanigian Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759382534
PECOS Enrollment IDI20070122000365
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
7373 WEST LN
STOCKTON, CA 95210
Pediatrics
7373 WEST LN
STOCKTON, CA 95210
Orthopaedic Surgery
7373 WEST LN
STOCKTON, CA 95210
Psychiatry & Neurology (Psychiatry)
7373 WEST LN
STOCKTON, CA 95210
Dietitian, Registered
7373 WEST LN
STOCKTON, CA 95210
Internal Medicine
7373 WEST LN
STOCKTON, CA 95210
Surgery (Vascular Surgery)
7373 WEST LN
STOCKTON, CA 95210
Dermatology
7373 WEST LN
STOCKTON, CA 95210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brad Nanigian's NPI number?

The NPI number for Brad Nanigian is 1205807484. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Brad Nanigian located?

Brad Nanigian practices at 7373 West Ln Surgery Clinic, Stockton, CA 95210. The listed phone number is (209) 476-2120.

What is Brad Nanigian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brad Nanigian enrolled in Medicare?

Yes. Brad Nanigian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brad Nanigian was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.