DR. TUCKER BRADLEY NICHOLSON MD
NPI 1689476400
Student in an Organized Health Care Education/Training Program in Overland Park, KS
About Dr. Tucker Bradley Nicholson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TUCKER BRADLEY NICHOLSON MD (NPI 1689476400) is an individual student in an organized health care education/training program in Overland Park, Kansas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tucker Bradley Nicholson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
OVERLAND PARK, KS 66215
LENEXA, KS 66215
OVERLAND PARK, KS 66215
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 Tucker Nicholson's NPI number?
The NPI number for Tucker Nicholson is 1689476400. It was assigned to this individual provider in the NPPES registry on March 24, 2025.
Where is Tucker Nicholson located?
Tucker Nicholson practices at 10500 Quivira Rd, Overland Park, KS 66215. The listed phone number is (913) 541-5000.
What is Tucker Nicholson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tucker Nicholson enrolled in Medicare?
Yes. Tucker Nicholson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tucker Nicholson was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
