MR. NICHOLAS BROCCOLI (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1235679432

MR. NICHOLAS BROCCOLI (DDS) is a healthcare provider. based in Henrico, Virginia. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials DDS. They hold a License No. 0401417373 (VA). The NPI Number for MR. NICHOLAS BROCCOLI (DDS) is 1235679432

Main info

Male
Name
MR. NICHOLAS BROCCOLI (DDS)
NPI
1235679432
Phone
(804) 354-1600
Address
3811 WESTERRE PKWY
Enumeration Date
7 March 2017
Last Update Date
22 November 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for MR. NICHOLAS BROCCOLI (DDS)

  • 3811 WESTERRE PKWY

    STE A

    HENRICO, VA 232331329

    Phone: (804) 354-1600

    Fax: (804) 354-1607

    Type: Location

  • 5942 Harbour Park Dr

    Midlothian, VA 231122163

    Phone: (804) 354-1600

    Fax: (804) 354-1607

    Type: Location

  • 12220 Iron Bridge Rd Ste B

    Chester, VA 238311543

    Phone: (804) 354-1600

    Fax: (804) 354-1607

    Type: Location

  • 1807 Huguenot Rd Ste 120

    Midlothian, VA 231135604

    Phone: (804) 354-1600

    Fax: (804) 354-1607

    Type: Location

  • 8503 Patterson Ave Ste A

    Richmond, VA 232296442

    Phone: (804) 354-1600

    Fax: (804) 354-1607

    Type: Location

  • La Bamba, 19, North 18th Street, Shockoe Bottom, Richmond, Richmond City, Virginia, 23223, United States

    #2

    RICHMOND, VA 232236901

    Phone: (631) 902-4312

    Type: Mailing

  • PO BOX 71930

    RICHMOND, VA 232551930

    Phone: (804) 354-1600

    Fax: (804) 354-1607

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,396.

Total Amount is formed as General ($1,396) + Research ($0) + Ownership ($0) = $1,396.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: ZIMVIE INC. ($1,173).

Total Amount

$1,396

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,396

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

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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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99202New patient office or other outpatient visit, 15-29 minutes4444$0
99212Established patient office or other outpatient visit, 10-19 minutes1411$0
View full utilization report →

Insurance plans in this area (ZIP 23233)

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Reviews

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Frequently asked questions

Can I use this page to confirm MR. NICHOLAS BROCCOLI (DDS)'s NPI?
Yes. MR. NICHOLAS BROCCOLI (DDS) is listed with NPI 1235679432 in the public NPI dataset.
Does the file indicate MR. NICHOLAS BROCCOLI (DDS) is practicing under active NPI?
Directory data currently reports MR. NICHOLAS BROCCOLI (DDS) as active.
What is MR. NICHOLAS BROCCOLI (DDS)'s specialty?
The listing groups MR. NICHOLAS BROCCOLI (DDS) with Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What address line appears for MR. NICHOLAS BROCCOLI (DDS)?
MR. NICHOLAS BROCCOLI (DDS)'s geographic hint is Henrico, Virginia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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