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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689476400

Dr. Tucker Bradley Nicholson, MD is a Student in an Organized Health Care Education/Training Program in Overland Park, Kansas. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone: (913) 541-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1689476400
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

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