Active NPI
Brian Nelson, PA-C
- Physician Assistant
- Louisville, KY
National Provider Identifier
1194666354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC036
- Practice address
- 200 E Chestnut St
Louisville, KY 40202-1831 - Phone
- (502) 629-8000
- NPI assigned
- Apr 2, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC036 | KY | Primary |
| Medical Physician Assistant | 363AM0700X | NA | KY |
Addresses
Primary practice location
200 E Chestnut St
Louisville, KY 40202-1831
Mailing address
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1194666354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E CHESTNUT ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021831",
"telephone_number": "502-629-8000",
"fax_number": "502-629-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E CHESTNUT ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021831",
"telephone_number": "502-629-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "BRIAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-02",
"last_updated": "2026-09-04",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC036",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "NA",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.