Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Flagstaff Neurosurgery PLLC

Organization Neurological Surgery Physician · NPI 1073850582

Flagstaff Neurosurgery PLLC is a Neurological Surgery Physician in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

823 N San Francisco St Ste F
Flagstaff, AZ 86001
Phone: (928) 226-7667
Fax: (928) 226-7664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 30127 (AZ)

Record details

NPI number1073850582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Nicol — Owner · (928) 226-7667
NPI enumeratedJanuary 4, 2013
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address823 N San Francisco St, Suite F, Flagstaff, AZ 86001

Other providers in Flagstaff