MEDICARE: NIKKI COTTEN WESTBROOK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD86031	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720652274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKKI COTTEN WESTBROOK MD

Provider Business Mailing Address
First Line	:	4500 FORT JACKSON BLVD STE 270
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29209-1120
Country	:	US
Telephone Number	:	803-764-3555
Fax Number	:	803-764-4418

Provider Business Practice Location Address
First Line	:	4500 FORT JACKSON BLVD STE 270
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29209-1120
Country	:	US
Telephone Number	:	803-764-3555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2021
Last Update Date	:	04/07/2026

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