BRIAN J NICKERSON (ATC) – Athletic Trainer, NPI 1295761930

BRIAN J NICKERSON (ATC) is a healthcare provider. based in Winter springs, Florida. specializing in Athletic Trainer. They hold the professional credentials ATC. They hold a License No. AL 96 (FL). The NPI Number for BRIAN J NICKERSON (ATC) is 1295761930

Main info

Male
Name
BRIAN J NICKERSON (ATC)
NPI
1295761930
Phone
(407) 971-1883
Address
130 AVERY LAKE DR
Enumeration Date
24 June 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for BRIAN J NICKERSON (ATC)

  • 130, Avery Lake Drive, Winter Springs, Seminole County, Florida, 32708, United States

    WINTER SPRINGS, FL 327085191

    Phone: (407) 971-1883

    Fax: (407) 835-8878

    Type: Mailing

  • 100, Gore Street, Orlando, Orange County, Florida, 32806, United States

    SUITE 204

    ORLANDO, FL 328061044

    Phone: (407) 835-8818

    Fax: (407) 835-8878

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32708)

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Reviews

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Frequently asked questions

What number should I use to identify BRIAN J NICKERSON (ATC) for billing?
Administrative and clinical systems typically use NPI 1295761930 for BRIAN J NICKERSON (ATC).
Should I treat BRIAN J NICKERSON (ATC) as an active provider?
Patients and plans typically see BRIAN J NICKERSON (ATC) as active in the national extract.
How should patients interpret BRIAN J NICKERSON (ATC)'s specialty?
The extract shows Athletic Trainer for BRIAN J NICKERSON (ATC). Clinical services aligned with this taxonomy classification.
Which community is linked to BRIAN J NICKERSON (ATC)?
BRIAN J NICKERSON (ATC) shows a connection to Winter Springs, Florida in registry-derived data.
Who maintains BRIAN J NICKERSON (ATC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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