1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. General Practice
  6. NPI Profile

DR. BRANDON NICHOLS DO
NPI 1578295648
General Practice in Las Vegas, NV

Active since June 28, 2022PECOS Enrolled
620 SHADOW LN, LAS VEGAS, NV 89106(702) 388-8436 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Brandon Nichols Do NPPES

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

DR. BRANDON NICHOLS DO (NPI 1578295648) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (DO3797) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2022).

NPPES Registry Identity

NPI1578295648
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. BRANDON NICHOLSCredential: DO
Location Address620 SHADOW LNLas Vegas, NV 89106-4119
Mailing Address620 Shadow LnLas Vegas, NV 89106-4119 · (702) 388-8436
Phone(702) 388-8436
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2022
Enumeration DateJune 28, 2022
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1578295648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NV · DO3797
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License SL1893 (NV)
620 SHADOW LN, Las Vegas, NV 89106
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID840670543
PECOS Enrollment IDI20260314000207
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 Reassignment

Medicare enrollment records show Brandon Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
1,067 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Nevada enrollment
  • 206 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290021
Location620 Shadow LaneLas Vegas, NV 89106 · Clark County
Emergency services

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.

JANN STACEY PICKENS NP
Nurse Practitioner
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4506
DR. VICTOR HOANG D.O.
Orthopaedic Surgery
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
DR. KAY E MCMILLAN DO
Emergency Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4500
DR. FELIX ALEXIE DO
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
ALEX HIRSCHFELD GOLDBACH MD
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 477-6572
NASIBO KADIR MD PLLC
Internal Medicine
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000
DR. JOHN YOUNG KO DO
Internal Medicine (Gastroenterology)
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-8436
MIRKO OMID MOSTAGHIMI DO
Student in an Organized Health Care Education/Training Program
620 SHADOW LN
LAS VEGAS, NV 89106
Clark County (702) 388-4000

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 Brandon Nichols's NPI number?

The NPI number for Brandon Nichols is 1578295648. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Brandon Nichols located?

Brandon Nichols practices at 620 Shadow Ln, Las Vegas, NV 89106. The listed phone number is (702) 388-8436.

What is Brandon Nichols's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Brandon Nichols enrolled in Medicare?

Yes. Brandon Nichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brandon Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Nichols reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brandon Nichols affiliated with any hospitals?

According to CMS data, Brandon Nichols is affiliated with Valley Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Brandon Nichols was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.