Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICKLAUS BRISCO RN (SRNA)
NPI 1407772544
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since June 24, 2026
4301 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 686-8000 Get Directions Write a Review

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicklaus Brisco Rn (srna) NPPES

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

NICKLAUS BRISCO RN (SRNA) (NPI 1407772544) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1407772544
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICKLAUS BRISCOCredential: RN (SRNA)
Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101
Mailing Address4301 W Markham StLittle Rock, AR 72205-7101 · (501) 686-8000
Sole ProprietorNo
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1407772544 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.
4301 W MARKHAM ST, Little Rock, AR 72205

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.

Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205

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 Nicklaus Brisco's NPI number?

The NPI number for Nicklaus Brisco is 1407772544. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Nicklaus Brisco located?

Nicklaus Brisco practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 686-8000.

What is Nicklaus Brisco's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicklaus Brisco was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.