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BRANTLEY PAUL NICHOLS

Debarred entity

BRANTLEY PAUL NICHOLS is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	BRANTLEY PAUL NICHOLS · Nichols, Brantley Paul				[sources]
Birth date	1975-12-25				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	BRANTLEY				[sources]
Last name	NICHOLS				[sources]
Middle name	PAUL				[sources]
NPI	`1265696769`				[sources]
Sector	DMD				[sources]
Unique Entity ID	`FM3EY57PM9H5`				[sources]
Position	DENTIST (IND- LIC HC SERV PRO)				[sources]
Address	1301 25TH AVE, GULFPORT, MS 39501 · 840 N. Oak Ave Ruleville, MS 38771 · GULFPORT, MS 39501, USA				[sources]
Last change	2025-09-12	Last processed	2025-10-21	First seen	2024-05-08

Relationships

Sanctions
Country	Authority	Program	Start date	End date
United States	Mississippi Division of Medicaid		2020-07-21	-

Data sources

US Health and Human Sciences Inspector General Exclusions80,983

People and companies excluded from Federally funded health care programs

United States · OIG

US Mississippi Medicaid Terminated Provider List217

Service providers who have been terminated for cause from Mississippi's Medicaid program.

United States of America · Mississippi Division of Medicaid

US SAM Procurement Exclusions105,510

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

Source data IDs: us-fed-excl-brantley-paul-nichols-39501-gulfport · us-medms-45c2b29e5975903c696089028ffc9d6150f0024e · us-medms-40ea59d82a7dbdea020ef53ccdf78e8a7f03991e

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Factsheet Data sources

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