NPI
Brantley Paul Nichols
NPI 1265696769
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DMD
- Type
- Individual
- Enumeration date
- 2008-07-14
- Last updated
- 2019-08-14
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Specialties
Licenses
- License KY
- 8276
- License MS
- 3560-10
Location
- Practice location
- 840 N Oak Ave
- City
- Ruleville MS
- Postal code
- 38771-3227
- Phone
- (601) 624-8209
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
Found on the OIG exclusion list (NPI match).
Nearby
Other NPIs in Ruleville, MS. 80 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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