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

Brian J Nickerson, ATC

Individual provider Athletic Trainer · NPI 1295761930

Brian J Nickerson, ATC is an Athletic Trainer in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

100 W Gore St Ste 204
Orlando, FL 32806-1044
Phone: (407) 835-8818
Fax: (407) 835-8878
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL 96 (FL)

Record details

NPI number1295761930
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESJuly 13, 2026
Mailing address130 Avery Lake Dr, Winter Springs, FL 32708-5191

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