DR. NICHOLAS BRENDLE DO
NPI 1407548894
Emergency Medicine in Kirksville, MO

Q: What is Nicholas Brendle's NPI number?

The NPI number for Nicholas Brendle is 1407548894. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Q: What is Nicholas Brendle's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Brendle was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2023PECOS Enrolled

800 W JEFFERSON ST, KIRKSVILLE, MO 63501(660) 626-2255 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Nicholas Brendle Do NPPES

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

DR. NICHOLAS BRENDLE DO (NPI 1407548894) is an individual emergency medicine provider in Kirksville, Missouri, licensed in Tennessee (6887) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Powell, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407548894

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. NICHOLAS BRENDLECredential: DO

Location Address800 W JEFFERSON STKirksville, MO 63501-1443

Mailing Address12408 Fort West DrKnoxville, TN 37934-1342

Phone(660) 626-2255

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 23, 2023

Last NPPES UpdateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1407548894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TN · 6887

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

800 W JEFFERSON ST, Kirksville, MO 63501

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Secondary Practice Location 1

Location 17565 Dannaher DrPowell, TN 37849-4029 · Phone (865) 859-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Brendle Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810493756

PECOS Enrollment IDI20250930004223

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.

Medicare Billing Reassignments

Medicare enrollment records show Nicholas Brendle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Macon County Samaritan Hospital

31 mi

Critical Access

1205 N MISSOURI ST
Macon, MO 63552

Reassigned Medicare billing, Missouri enrollment
63 clinicians in this Medicare group

NPI 1548215106 (660) 385-8700

Southeastern Emergency Physicians LLC

481 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Tennessee enrollment
1,071 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMBER WIREMAN DO

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