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

Warren Russell Nickerson, MD

Individual provider General Practice Physician · NPI 1750611794

Warren Russell Nickerson, MD is a General Practice Physician in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in
MA
In the registry since
2010
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

1 Pearl St
Brockton, MA 02301-2864
Phone: (508) 584-4107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 29149 (MA)

Record details

NPI number1750611794
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 13, 2010
Last updated in NPPESJune 3, 2014

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