John Charles Nicholson, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

J0160 Issued in TX

Practice address

1 Boone Rd
Naval Hospital
Bremerton, WA 98312-1894

Phone

(360) 475-4426

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790787984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL, ATTN: PROFESSIONAL AFFAIRS (CODE 083F)",
            "address_2": "ONE BOONE ROAD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983121898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOONE RD",
            "address_2": "NAVAL HOSPITAL",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983121894",
            "telephone_number": "360-475-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "J0160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva M. Nicholas, MD
• Autumn Nichols, MSW
• Seok Whan Nichols, DDS
• Seville Lynette Nichols
• Brice R Nicholson, DO
• Sara Elise Nickerson, BCBA
• Teryn Nicolet
• Grant Nielsen, BS
• Marni Katrina Nielsen
• Brian Albert Nielson, IDC

• Otolaryngology Physician in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Otolaryngology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.