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

Nicol Renee Awadalla Bacon, MD

Individual provider Developmental - Behavioral Pediatrics Physician · NPI 1104062454

Nicol Renee Awadalla Bacon, MD is a Developmental - Behavioral Pediatrics Physician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2008.

Licensed in
DC
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

111 Michigan Ave NW
Washington, DC 20010-2916
Phone: (202) 476-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence MD046588 (DC)

Record details

NPI number1104062454
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 16, 2008
Last updated in NPPESOctober 18, 2018

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