Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brandon Robert McNickle, PA-C

Individual provider Physician Assistant · NPI 1053789719

Brandon Robert McNickle, PA-C is a Physician Assistant in Goodlettsville, Tennessee. Qualified in 2015, 11 years ago. Practices with Cumberland Skin Surgery and Dermatology, a 55-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

201 Bluebird Dr
Goodlettsville, TN 37072-2301
Phone: (615) 859-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Steam Plant Rd Ste 260b, Gallatin, TN 37066-3063 — (615) 859-7546

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1053789719
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2015
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cumberland Skin Surgery And Dermatology — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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