Individual provider Active NPI

Barry M. Nelson, DO

  • Emergency Medicine Physician
  • Highlands Ranch, CO
National Provider Identifier
1285742965
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A8398 Issued in CA
Practice address
9330 S University Blvd
Highlands Ranch, CO 80126-5065
Phone
(303) 758-2800
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A8398 CA Primary
Emergency Medicine Physician 207P00000X 31285 CO

Addresses

Primary practice location

9330 S University Blvd
Highlands Ranch, CO 80126-5065

Mailing address

P.O. Box 12020
Westminster, CA 92685-2020
Phone (888) 556-5619

Other identifiers 1

IdentifierTypeStateIssuer
00AX83980MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A8398CAMDEmergency Medicine Physician
31285COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Ranch Healthcare LLC Past Accepting new patients
Highlands Ranch Healthcare LLC Emergency Medicine Past Accepting new patients
Innova Emergency Medical Associates PC Emergency Medicine Past Accepting new patients
Trinidad Area Health Association Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1285742965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 12020",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926852020",
            "telephone_number": "888-556-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 S UNIVERSITY BLVD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265065",
            "telephone_number": "303-758-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BARRY",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A8398",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "31285",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX83980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.