Active NPI
Brent V. Nelson, D.O.
- Adolescent Medicine (Family Medicine) Physician
- Fort Carson, CO
National Provider Identifier
1023084902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- License
- DO407
- Practice address
- 1650 Cochrane Cir
Adolescent Medicine USA Meddac, Each,
Fort Carson, CO 80913-4603 - Phone
- (719) 526-7226
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | DO407 | AL | Primary |
Addresses
Primary practice location
1650 Cochrane Cir
Adolescent Medicine USA Meddac, Each,
Fort Carson, CO 80913-4603
Mailing address
630 Maroonglen CT
Colorado Springs, CO 80906-6805
Phone (719) 576-2745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO407 | AL | MD | Adolescent Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023084902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 MAROONGLEN CT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809066805",
"telephone_number": "719-576-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR",
"address_2": "ADOLESCENT MEDICINE USA MEDDAC, EACH,",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134603",
"telephone_number": "719-526-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "BRENT",
"middle_name": "V.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0000X",
"taxonomy_group": "",
"desc": "Family Medicine, Adolescent Medicine",
"state": "AL",
"license": "DO407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.