DR. ALLEN BRYANT NICHOLS (NPI# 1407998420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407998420 |
| Entity Type | Individual |
| Full Name | DR. ALLEN BRYANT NICHOLS |
| Credential | MD |
| Practice Address |
12720 Mcmanus Blvd Suite 201 Newport News VA 23602-4414 |
| Mailing Address |
12720 Mcmanus Blvd #201 Newport News VA 23602-4414 |
| Practice Telephone | 7578755332 |
| Practice Fax Number | 7578741545 |
| Mailing Telephone | 7578755332 |
| Mailing Fax Number | 7578741545 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101036628 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010130409 | 05 |
| Street Address |
12720 MCMANUS BLVD SUITE 201 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346270329 | Mary Immaculate Ambulatory Surgery Center LLC | Clinic/Center | 12720 Mcmanus Blvd, Ste 103, Newport News, VA 23602-4441 | 2006-07-04 |
| 1194267229 | Mary Immaculate Hospital | Obstetrics & Gynecology | 12720 Mcmanus Blvd, Suite 301, Newport News, VA 23602-4414 | 2016-11-07 |
| 1689047979 | Mary Immaculate Hospital | Surgery | 12720 Mcmanus Blvd, Suite 203, Newport News, VA 23602-4414 | 2015-11-09 |
| 1174921365 | Lindsay Nicole Manzlak | Nurse Practitioner | 12720 Mcmanus Blvd, Suite 308, Newport News, VA 23602-4414 | 2014-12-21 |
| 1265844880 | Susan Elizabeth Ferrandino | Nurse Practitioner | 12720 Mcmanus Blvd, Suite 303, Newport News, VA 23602-4414 | 2014-06-02 |
| 1164767968 | Monika R Brown | Nurse Practitioner | 12720 Mcmanus Blvd, Suite 308, Newport News, VA 23602-4414 | 2012-12-05 |
| 1356625073 | Mary Immaculate Hospital | Internal Medicine | 12720 Mcmanus Blvd, Suite 303, Newport News, VA 23602-4414 | 2011-09-29 |
| 1578860607 | Philip C Alexander | Nurse Practitioner | 12720 Mcmanus Blvd, Suite 313, Newport News, VA 23602-4414 | 2011-02-25 |
| 1003130394 | Mary Immaculate Hospital | Internal Medicine | 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414 | 2010-03-16 |
| 1326379769 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 12720 Mcmanus Blvd, Suite 313, Newport News, VA 23602-4414 | 2010-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508028937 | Mrugesh Indubhai Soni | Internal Medicine | 12720 Mcmanus Blvd Ste 201, Newport News, VA 23602-4486 | 2008-06-26 |
| 1669565636 | Gerard Abate | Internal Medicine | 33 Pear Ave, Newport News, VA 23607-6011 | 2006-10-02 |
| 1811974207 | Andrew Mark Rashkow | Internal Medicine | 500 J Clyde Morris Blvd Fl Annex1, Newport News, VA 23601 | 2005-12-27 |
| 1962831149 | Fnu Vikram | Internal Medicine | 500 J Clyde Morris Blvd Fl Annex1, Newport News, VA 23601 | 2013-11-07 |
| 1942636014 | Stgeorge Tucker Lee | Internal Medicine | 718 J Clyde Morris Blvd, Newport News, VA 23601-1540 | 2013-09-20 |
| 1003130394 | Mary Immaculate Hospital | Internal Medicine | 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414 | 2010-03-16 |
| 1639324890 | Riverside Physician Services, Inc | Internal Medicine | 500 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1929 | 2008-12-01 |
| 1407001456 | Riverside Physician Services, Inc | Internal Medicine | 12720 Mcmanus Blvd, Ste 307, Newport News, VA 23602-4414 | 2008-11-18 |
| 1801008420 | Anthony Paul Lombardo | Internal Medicine | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2007-05-04 |
| 1467580472 | Peninsula Williamsburg Cardiology Assoc | Internal Medicine | 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414 | 2007-03-01 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
Please comment or provide details below to improve the information on DR. ALLEN BRYANT NICHOLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.