IndividualActive
Brandon Nidea, MD
NPI 1245810175 · Clinical Neurophysiology Physician · Madison, WI
Provider details
- NPI number
- 1245810175
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 85563-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-6400
Approximate (ZIP-level) locationGet directions
Mailing address
708 N Hamlin Ave
Park Ridge, IL 60068-2417
Additional practice locations (1)
- 1 Wyoming StDayton, OH 45409-2722Phone: (937) 208-8000
Registry dates
- Enumerated
- 2021-04-13
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.