Mr. Nicholas Broccoli, DDS

Mr. Nicholas Broccoli is a Oral and Maxillofacial Surgery (Dentist) provider (Dentist) practicing in Henrico, VA, registered in the NPPES registry with NPI 1235679432 since 2017. The credential DDS stands for Doctor of Dental Surgery. Practices at Short Pumps Dental (listed at the same practice address in NPPES).

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NPI	1235679432
Entity type	Individual (Type 1)
Name	Mr. Nicholas Broccoli
Credential	DDS
Sex	Male
Practice address	3811 WESTERRE PKWY, STE A, Henrico, VA, 23233
Phone	8043541600
Fax	8043541607
Enumeration date	2017-03-07
Last updated in NPPES	2021-11-22

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
1223S0112X	Oral and Maxillofacial Surgery (Dentist)	Primary	0401417373	VA

DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Copy-ready billing details

Provider: Nicholas Broccoli, DDS
NPI: 1235679432
Taxonomy: 1223S0112X (Oral and Maxillofacial Surgery (Dentist))
Address: 3811 WESTERRE PKWY, STE A, Henrico, VA, 23233

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1114079480	Short Pumps Dental	Organization	General Practice Dentistry	Henrico, VA
1063676450	Roman Haueis	Individual	General Practice Dentistry	Henrico, VA

Verify this record

Cross-check NPI 1235679432 against the authoritative CMS record: view Mr. Nicholas Broccoli on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Nicholas Broccoli?

The National Provider Identifier (NPI) for Nicholas Broccoli is 1235679432, a Type 1 (individual) record in the CMS NPPES registry.

Where does Nicholas Broccoli practice?

The practice location on file with NPPES is in Henrico, VA. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-11-22.