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DR. NICHOLAUS BRUCE MARTIN MD
NPI 1629053236
General Practice in Flagstaff, AZ

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
120 W FINE AVE, FLAGSTAFF, AZ 86001(928) 773-9695(928) 773-0208 Get Directions Write a Review

NPPES record last updated: January 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicholaus Bruce Martin Md NPPES

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

DR. NICHOLAUS BRUCE MARTIN MD (NPI 1629053236) is an individual general practice provider in Flagstaff, Arizona, licensed in Arizona (18430) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (1983).

NPPES Registry Identity

NPI1629053236
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. NICHOLAUS BRUCE MARTINCredential: MD
Location Address120 W FINE AVEFlagstaff, AZ 86001-3016
Mailing Address120 W Fine AveFlagstaff, AZ 86001-3016 · (928) 773-9695 · Fax (928) 773-0208
Phone(928) 773-9695
Fax(928) 773-0208
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1983
Enumeration DateDecember 7, 2005
Last NPPES UpdateJanuary 22, 2010
✔ NPI 1629053236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in AZ · 18430✔ Licensed in CO · 40573
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
120 W FINE AVE, Flagstaff, AZ 86001
Open in Google Maps ↗

Other Identifiers 5

Medicare PINZ120963AZ
Medicare ID-Type UnspecifiedWDB7Q01
Medicare UPINF10848
Medicare UPINZ121095AZ
Medicare UPINZ133669AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholaus Bruce Martin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597848044
PECOS Enrollment IDI20080207000278
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SANDRA GLICK-RIDLEY MSPT
Physical Therapist
120 W FINE AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 773-9695
OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A. (AZ)
Clinic/Center
120 W FINE AVE
FLAGSTAFF, AZ 86001
Coconino County (928) 773-9695

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 Nicholaus Martin's NPI number?

The NPI number for Nicholaus Martin is 1629053236. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Nicholaus Martin located?

Nicholaus Martin practices at 120 W Fine Ave, Flagstaff, AZ 86001. The listed phone number is (928) 773-9695.

What is Nicholaus Martin's specialty?

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

Is Nicholaus Martin enrolled in Medicare?

Yes. Nicholaus Martin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholaus Martin accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Nicholaus Martin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholaus Martin was last updated on January 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.