NPIMap

Individual provider Active NPI

Brandon Nuckles, MD

  • Plastic Surgery Physician
  • Richmond, VA
National Provider Identifier
1992168751
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101285810 Issued in VA
Practice address
11934 W Broad St Ste 200
Richmond, VA 23233-1100
Phone
(804) 424-2000
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 12744875-1205 UT
Plastic Surgery Physician 208200000X 0101285810 VA Primary

Addresses

Primary practice location

11934 W Broad St Ste 200
Richmond, VA 23233-1100

Mailing address

11934 W Broad St Ste 200
Richmond, VA 23233-1100
Phone (804) 424-2000

Other practice location 1

Geisinger Medical Center 100 North Academy Ave
Danville, PA 17822-0001
Phone (570) 271-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821003119 VA Practitioner - Plastic and Reconstructive Surgery 3971890211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Eastern Virginia Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil J Zemmel MD PCGroup PAC ID 0345333779, 3 clinicians

Practice addresses (Care Compare)

11934 W Broad St
Suite 200
Richmond, VA 23233-1100
Phone (804) 423-2100

Hospital & facility affiliations

  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12744875-1205UTMDPlastic Surgery Physician
0101285810VAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neil J Zemmel MD PC Plastic Surgery CurrentSince Jul 1, 2025 Accepting new patients
Plastic Surgery Associates of Richmond Inc Plastic Surgery PastSince Jul 1, 2025 Accepting new patients

Locations

11934 W Broad St
Ste 200
Richmond, VA 23233
Phone (804) 423-2100

Organizations & group practices 2

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1992168751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11934 W BROAD ST STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331100",
            "telephone_number": "804-424-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11934 W BROAD ST STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331100",
            "telephone_number": "804-424-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Geisinger Medical Center 100 North Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178220001",
            "country_code": "US",
            "telephone_number": "570-271-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUCKLES",
        "first_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "12744875-1205",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101285810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.