Jeffrey Donald Nelson, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

G72339 Issued in CA

Practice address

2222 Bancroft Ext
University Health Service- Clinical Services
Berkeley, CA 94720-4303

Phone

(510) 643-7110

Fax

(510) 643-9790

NPI assigned

Sep 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295720936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4446",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947040446",
            "telephone_number": "510-642-7955",
            "fax_number": "510-643-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BANCROFT EXT",
            "address_2": "UNIVERSITY HEALTH SERVICE- CLINICAL SERVICES",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947204303",
            "telephone_number": "510-643-7110",
            "fax_number": "510-643-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JEFFREY",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "G72339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF. MEDICAL LISCENCE",
            "identifier": "G72339",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominga Needham, PMHNP
• Deena Neff, M.D.
• Andrea Nelson
• Butler Nelson, PH.D.
• Debra Colleen Nelson, MD
• John James Nelson, LAC, DIPL. OM
• Judith Kay Nelson, PH.D.
• Keith T Nelson, DDS
• Kristen Frances Nelson, FNP-BC
• Natasha Elizabeth Nelson, L.AC.

• Sports Medicine (Family Medicine) Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.