Brian Clayton Nickles, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

06164 Issued in KY

Practice address

30 S Ky Highway 15
Hazard, KY 41701-6029

Phone

(606) 629-5298

Fax

(606) 249-8333

NPI assigned

May 24, 2023

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: briannickles01@arh.medalliesdirect.net

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.

• Green Valley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Paducah, KY
  • NPI 1720755739
  Medicare reassignment NPD

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1942992128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S KY HIGHWAY 15",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417016029",
            "telephone_number": "606-629-5299",
            "fax_number": "606-249-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S KY HIGHWAY 15",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417016029",
            "telephone_number": "606-629-5298",
            "fax_number": "606-249-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Medical Plaza Ln",
            "address_purpose": "LOCATION",
            "city": "Whitesburg",
            "state": "KY",
            "postal_code": "418587425",
            "country_code": "US",
            "telephone_number": "606-633-4871",
            "fax_number": "606-633-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKLES",
        "first_name": "BRIAN",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "06164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100999160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lonnie Neace
• Scotty Neace
• June Shannon Nease, RN
• Donna Newsome
• Tayson Nguyen, DO
• Ashleigh Kaitlyn Nidiffer
• Amjad Nisar, M.D.
• Kristi Nix, APRN
• Lashane Nix
• Angel Noble

• Internal Medicine Physician in Hazard, KY
• Providers in Hazard, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.