Brian Nichols, M.D. PH.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

38111 Issued in CO

Practice address

4745 Arapahoe Ave
Ste 100
Boulder, CO 80303-1080

Phone

(303) 444-3000

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Iowa, RJ & L Carver College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center of Northern Colorado PCGroup PAC ID 5496644841, 67 clinicians

Donald J Keller MD PCGroup PAC ID 3274501481, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.nichols.p5@direct.eyecenternoco.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Center of Northern Colorado, P.C

  dba Boulder Eye Surgeons PC

  • Ophthalmology Physician
  • Boulder, CO
  • NPI 1790806644
  Medicare reassignment Care Compare group NPD Authorized official
• Eye Center of Northern Colorado, P.C.

  • Ophthalmology Physician
  • Fort Collins, CO
  • NPI 1073559605
  Medicare reassignment Care Compare group NPD
• Premier Eye Surgery Center of Colorado, LLC

  dba Premier Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lafayette, CO
  • NPI 1912460015
  NPD Authorized official
• Eye Center of Northern Colorado, P.C

  dba Boulder Eye Surgeons PC

  • Ophthalmology Physician
  • Erie, CO
  • NPI 1952002248
  NPD
• Eye Center of Northern Colorado, P.C

  dba Boulder Eye Surgeons, P.C.

  • Optometrist
  • Boulder, CO
  • NPI 1568170520
  NPD (past)
• Optometric Associates PC

  dba Eagle Vision & Eye Clinic PC

  • Optometrist
  • Longmont, CO
  • NPI 1730299116
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1699727172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 ARAPAHOE AVE",
            "address_2": "STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031080",
            "telephone_number": "303-444-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 ARAPAHOE AVE",
            "address_2": "STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031080",
            "telephone_number": "303-444-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CO",
            "license": "38111",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "38111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04020145",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thuong Hong Nguyen
• Nice Recovery Systems LLC
• David Albert Nichol, MD
• Nicholas J. Smith, LLC
• Margot Rossini Nicholls, NONE
• Dena Marie Nichols, R.N.
• Jon Eric Nichols, M.A. LPC
• Roger D Nichols, M.D.
• Sara Gayle Nichols, PHARMD
• Dia Nicholson, MA

• Ophthalmology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.