NICOLAS ALLEN BRANDT MD
NPI 1407550874
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 29, 2023PECOS Enrolled

2131 S 17TH ST, WILMINGTON, NC 28401(910) 343-7000(910) 667-5650 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 19, 2023, Mar 29, 2023 (2 updates tracked since 2023).

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About Nicolas Allen Brandt Md NPPES

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

NICOLAS ALLEN BRANDT MD (NPI 1407550874) is an individual student in an organized health care education/training program in Wilmington, North Carolina, licensed in North Carolina (RTL23-0266) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407550874

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICOLAS ALLEN BRANDTCredential: MD

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing Address2131 S 17th StWilmington, NC 28401-7407 · (910) 343-7000 · Fax (910) 667-5650

Phone(910) 343-7000

Fax(910) 667-5650

Sole ProprietorNo

Enumeration DateMarch 29, 2023

Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration

NPPES CertifiedJuly 19, 2023

✔ NPI 1407550874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NC · RTL23-0266

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.

2131 S 17TH ST, Wilmington, NC 28401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolas Allen Brandt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.