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

Steven Brandon Nickle, DO

Individual provider Dermatology Physician · NPI 1255722617

Steven Brandon Nickle, DO is a Dermatology in Layton, Utah. Qualified in 2009, 17 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group and accepts Medicare assignment. Licensed in Florida and Utah.

Years since qualifying
17
Licensed in
FL, UT
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2121 N 1700 W
Layton, UT 84041-8803
Phone: (801) 773-4840
Fax: (801) 525-8151
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 10260137-1204 (UT)
Dermatology Physician Taxonomy 207N00000X · Licence UO3507 (FL)

Record details

NPI number1255722617
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 6, 2015
Last updated in NPPESJuly 21, 2022
Mailing address3200 S University Dr, Davie, FL 33328-2018

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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