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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659637569

Dr. Nicolas James Mazal, MD is a Diagnostic Radiology in Mt Pleasant, South Carolina. Qualified in 2012, 14 years ago. Practices with Pelican II LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Oklahoma and South Carolina.

Years since qualifying
14
Licensed in
OK, SC
In the registry since
2012
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

1241 Woodland Ave
Mt Pleasant, SC 29464-3288
Phone: (843) 824-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 40730 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 29073 (OK)

Record details

NPI number1659637569
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2012
Last updated in NPPESJanuary 16, 2019

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pelican Ii Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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