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

Dr. David Michael Nichols, MD

Individual provider Family Medicine Physician · NPI 1336762061

Dr. David Michael Nichols, MD is a Family Practice in Fogelsville, Pennsylvania. Graduated from State University of New York at Stony Brook, School of Medicine in 2022, 4 years ago. Practices with Jefferson Acute Care Physicians PC, a 32-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
4
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1431 Nursery St Ste 101B
Fogelsville, PA 18051-1612
Phone: (484) 273-4370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 Hawk Ridge Dr, Hamburg, PA 19526-9219 — (610) 562-3066

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD478456 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MT220652 (PA)

Record details

NPI number1336762061
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2020
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Jefferson Acute Care Physicians Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fogelsville