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

Dr. Marshall Nickel, MD

Individual provider Family Medicine Physician · NPI 1134357239

Dr. Marshall Nickel, MD is a Family Practice in West Jordan, Utah. Qualified in 2008, 18 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho, North Carolina, Utah and Washington.

Years since qualifying
18
Licensed in
ID, NC, UT, WA
In the registry since
2009
Specialties on file
4
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

3181 W 9000 S Bldg A Ste 100
West Jordan, UT 84088-5610
Phone: (801) 352-5900
Fax: (801) 352-5914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Pavilion Way Ste C, Southern Pines, NC 28387-4560 — (801) 709-1470
  • 3492 W 2500 N, Lehi, UT 84048-6049 — (801) 709-1470

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9849340-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2011-01336 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD60216841 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence M-13326 (ID)

Record details

NPI number1134357239
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2009
Last updated in NPPESAugust 2, 2026
Certification dateAugust 2, 2026
Mailing address3492 W 2500 N, Lehi, UT 84048-6049

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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