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Brian J Nickerson , ATC

Specialist/Technologist - Athletic Trainer • Orlando, FL

Active NPI 1295761930 Individual Practitioner Male Practitioner
Practice location in NPPES

100 W Gore St, Suite 204
Orlando, FL 328061044

Call 4078358818 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

100 W Gore St
Suite 204

Orlando, FL 328061044

Telephone 4078358818
Fax 4078358878
Organization at the Same NPPES Address or Phone
Rehabilitation Medical Group Facility NPI 1922041243

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Orlando and Florida

197 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Orlando, FL (2,202 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Orlando

0% of these 197 clinicians have the CMS telehealth indicator.

0% of these 197 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES FL AL 96

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Victor Buzon , APRN

Nurse Practitioner - Gerontology

NPI 1487125530

Advanced Practice Registered Nurse

Dr. Sean Coad , PsyD

Psychologist - Clinical

NPI 1649752544

Doctor of Psychology (Psy.D.)

Dr. Bradley Daniels , PhD

Psychologist - Clinical

NPI 1659627560

Doctor of Philosophy (Ph.D.)

NPI 1760511141

Doctor of Physical Therapy, Certified Athletic Trainer

Dr. Ira Goodman , MD

Neurological Surgery

NPI 1841260734

Doctor of Medicine (M.D.)

Ruhonney Howells

Nurse Practitioner - Pediatrics

NPI 1912483595

Career & Practice History

NPI enumerated June 24, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1295761930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

130 Avery Lake Dr

Winter Springs, FL 327085191

Phone: 4079711883

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.