Bradley Jon Nelson, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

141 Dorman Centre Dr
Spartanburg, SC 29301-2625

Phone

(828) 574-9609

NPI assigned

Jul 12, 2022

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1275267692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "TRYON",
            "state": "NC",
            "postal_code": "287820164",
            "telephone_number": "828-899-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DORMAN CENTRE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012625",
            "telephone_number": "828-574-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BRADLEY",
        "middle_name": "JON",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Neese, MD
• Cheryl Ann Neff, RN
• Maria Milagros Negron Alvarez, MD
• David Negron, DPM
• Hailey Neifert
• Eric Nelson, OD
• Eric Charles Nelson, MD
• Nephrology Associates of Spartanburg, LLC (Spartanburg Nephrology Associates)
• Bridney Nesbitt-Erby
• La'Niaya Dy'Quesha Nesbitt, LMSW

• Optician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.