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

Individual provider Emergency Medicine Physician · NPI 1811334303

Ty Brandon Nichols, MD is an Emergency Medicine in Rifle, Colorado. Graduated from Louisiana State University School of Medicine in New Orleans in 2013, 13 years ago. Practices with Grand River Hospital District, a 80-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
13
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
CO
In the registry since
2013
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

501 Airport Rd
Rifle, CO 81650-8510
Phone: (970) 625-1510
Fax: (970) 625-6486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DR.0058282 (CO)

Record details

NPI number1811334303
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2013
Last updated in NPPESSeptember 24, 2018

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2013 (13 years in practice)
Group practice Grand River Hospital District — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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