Physician Compare National (NPI:1760536478)

HEALTHCARE PROVIDER: RICHARD EARL NICHOLSON MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1760536478
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800832544
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050701000792
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NICHOLSON
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	EARL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	151 PIONEER LN
	Group Practice or individual's line 1 address
City	BISHOP
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	935142557
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7608721000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M