Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICKLAUS BRISCO CRNA
NPI 1407772544
Nurse Anesthetist, Certified Registered in Augusta, GA

Q: 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.

Q: What is Nicklaus Brisco's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Nicklaus Brisco was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 24, 2026

1350 WALTON WAY, AUGUSTA, GA 30901(706) 737-9250 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Nicklaus Brisco Crna NPPES

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

NICKLAUS BRISCO CRNA (NPI 1407772544) is an individual nurse anesthetist, certified registered in Augusta, Georgia, licensed in Georgia (GAA-CRNA004170) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1407772544

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameNICKLAUS BRISCOCredential: CRNA

Location Address1350 WALTON WAYAugusta, GA 30901-2612

Mailing Address4301 W Markham StLittle Rock, AR 72205-7101 · (501) 686-8000

Phone(706) 737-9250

Sole ProprietorNo

Enumeration DateJune 24, 2026

Last NPPES UpdateNovember 4, 2026

NPPES CertifiedNovember 4, 2026

✔ NPI 1407772544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in GA · GAA-CRNA004170

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1350 WALTON WAY, Augusta, GA 30901

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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.

ENOCH BUSULWA LULE M.D.

Internal Medicine

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5542

DR. MARY TANEOUS MD

Pathology (Anatomic Pathology & Clinical Pathology)

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5400

PRIYA DHARSHINI RAVINDRAN MD

Internal Medicine (Gastroenterology)

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5795

DR. KAILASH B SHARMA MD

Pathology (Anatomic Pathology & Clinical Pathology)

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5400

MICHEL TANIOS M.D.

Internal Medicine

1350 WALTON WAY, HOSPITALISTS
AUGUSTA, GA 30901

Richmond County (706) 774-7263

FLYNT STEBBINS CONNOR M.S., CCC-SLP

Speech-Language Pathologist

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-2166

LAURA ENZ

Speech-Language Pathologist

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-2166

CANDACE M CURTIS MD

Anesthesiology

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 737-6950

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 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 737-9250.

What is Nicklaus Brisco's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Nicklaus Brisco was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.