Active NPI
Brian E Nichols, MS ATC
- Athletic Trainer
- Brighton, MI
National Provider Identifier
1013965813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2300 Genoa Business Park Dr
Suite 120
Brighton, MI 48114-7367 - Phone
- (810) 299-8557
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
2300 Genoa Business Park Dr
Suite 120
Brighton, MI 48114-7367
Mailing address
749 Village Dr
Fowlerville, MI 48836-7930
Phone (517) 223-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1013965813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 VILLAGE DR",
"city": "FOWLERVILLE",
"state": "MI",
"postal_code": "488367930",
"telephone_number": "517-223-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 GENOA BUSINESS PARK DR",
"address_2": "SUITE 120",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481147367",
"telephone_number": "810-299-8557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "BRIAN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "MS ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.