Individual provider Active NPI

Brandi T. Nicholson, MD

  • Diagnostic Radiology Physician
  • Charlottesville, VA
National Provider Identifier
1912076548
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101235708 Issued in VA
Practice address
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone
(859) 578-5855
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD-45476 IA
Diagnostic Radiology Physician 2085R0202X 0101235708 VA Primary

Addresses

Primary practice location

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668

Mailing address

100 San Marcos Way
Crozet, VA 22932-1578
Phone (434) 996-6968

Other practice location 1

78 Medical Center Dr
Fishersville, VA 22939-2332
Phone (540) 332-4400

Other practice location 2

105 E 9th St
Coralville, IA 52241-2209
Phone (319) 467-2000

Other practice location 3

1 Hospital Dr Fl 1
Charlottesville, VA 22908-0001
Phone (434) 924-5194

Other practice location 4

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-4413

Other practice location 5

100 San Marcos Way
Crozet, VA 22932-1578
Phone (434) 996-6968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050627001327 VA Practitioner - Diagnostic Radiology 2264477553 Reassigns benefits to 7 organizations
I20240702001941 NY Practitioner - Diagnostic Radiology 2264477553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Charlottesville Radiology LTDGroup PAC ID 1557259959, 10 clinicians

Practice addresses (Care Compare)

3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone (434) 200-5999

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7106

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Dec 1, 2010 Accepting new patients
Bowes Imaging Center LLC. Diagnostic Radiology CurrentSince Apr 24, 2026 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP Diagnostic Radiology CurrentSince Apr 26, 2024 Accepting new patients
Bath County Community Hospital CurrentSince Nov 1, 2021 Accepting new patients
Centra Health Inc CurrentSince Feb 5, 2024 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince May 1, 2024 Accepting new patients
Centra Medical Group, LLC CurrentSince Jan 6, 2024 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Dec 1, 2010 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology Current Accepting new patients
Bowes Imaging Center, LLC Diagnostic Radiology CurrentSince Apr 24, 2026 Accepting new patients
Community Radiology of Virginia, Inc Past Accepting new patients

Locations (25 of 33)

160 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 665-7240

1018 Suffolk Ave
Brentwood, NY 11717

763 Larkfield Rd
Commack, NY 11725
Phone (631) 462-0118

347 Middle Country Rd
Coram, NY 11727
Phone (631) 992-6403

2087 Deer Park Ave
Deer Park, NY 11729
Phone (631) 992-6401

285 Sills Rd
East Patchogue, NY 11772
Phone (631) 447-8300

220 N Belle Mead Rd
East Setauket, NY 11733
Phone (516) 681-8400

99 Smithtown Byp
Hauppauge, NY 11788
Phone (631) 930-3480

326 Walt Whitman Rd
Huntington Station, NY 11746
Phone (631) 673-1001

23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693

625 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 288-3076

150 Sunrise Hwy
Lindenhurst, NY 11757
Phone (631) 957-3355

150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757

150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757

126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614

1729 N Ocean Ave
Medford, NY 11763
Phone (631) 289-4800

680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400

4 Medical Dr
Port Jefferson Station, NY 11776
Phone (631) 428-1600

5650 Sunrise Hwy
Sayville, NY 11782

803 Montauk Hwy
Unit F
Shirley, NY 11967

987 W Jericho Tpke
Smithtown, NY 11787
Phone (516) 864-9100

80 Maple Ave
Smithtown, NY 11787
Phone (516) 265-5777

2500 Route 347
Stony Brook, NY 11790
Phone (631) 689-7700

6144 Route 25A
Ste 1
Wading River, NY 11792

759 Montauk Hwy
West Islip, NY 11795
Phone (516) 669-7103

Organizations & group practices 12

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1912076548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAN MARCOS WAY",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229321578",
            "telephone_number": "434-996-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARTHA JEFFERSON DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114668",
            "telephone_number": "859-578-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392332",
            "country_code": "US",
            "telephone_number": "540-332-4400",
            "fax_number": "540-332-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522412209",
            "country_code": "US",
            "telephone_number": "319-467-2000",
            "fax_number": "319-467-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080001",
            "country_code": "US",
            "telephone_number": "434-924-5194",
            "fax_number": "434-924-5672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "52242",
            "country_code": "US",
            "telephone_number": "319-356-4413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 San Marcos Way",
            "address_purpose": "LOCATION",
            "city": "Crozet",
            "state": "VA",
            "postal_code": "229321578",
            "country_code": "US",
            "telephone_number": "434-996-6968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "BRANDI",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-45476",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101235708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.