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

Nicole Branum

Individual provider Physician Assistant · NPI 1700208345

Nicole Branum is a Physician Assistant in Beverly, Massachusetts. Graduated from Emory University School of Medicine in 2013, 13 years ago. Practices with Northeast Dermatology Associates PC, a 84-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Trained at
Emory University School of Medicine
Licensed in
MA
In the registry since
2014

Practice location Address checks out

138 Conant St
Beverly, MA 01915-1665
Phone: (978) 927-5254
Fax: (978) 921-1418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAT0059 (MA)

Record details

NPI number1700208345
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 16, 2014
Last updated in NPPESOctober 18, 2017
Mailing address280 Merrimack St Ste 311, Lawrence, MA 01843-1779

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Northeast Dermatology Associates Pc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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