Nelson Brown Jr.
Individual provider Active NPI Health Educator · Highland, CA
NPI 1104223049 · NPPES record last updated Aug 18, 2016
Key facts
- NPI
- 1104223049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 7231 Boulder Ave
Suite 293
Highland, CA 92346-3313 - Phone
- (909) 910-8200
- NPI assigned
- Nov 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46246 | CA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 46246 | CA | |
| Health Educator | 174H00000X | Yes | ||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
7231 Boulder Ave
Suite 293
Highland, CA 92346-3313
Mailing address
7231 Boulder Ave
Suite 293
Highland, CA 92346-3313
Phone (909) 910-8200
Other providers in Highland, CA
- Catherine Bodman
- Amanda Bowen
- Katherine Boyko
- Darrell Broussard II
- Joeann Brown
- Suzanne Browning
- Cabio Inc
- Elizabeth Cerda Cabrera
- Renee Lee Calderwood
- California Specimen Collection
All providers in Highland, CA · Health Educator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.