Neil R Nelson MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

001 Issued in IL

Legal business name

NEIL R NELSON MD

Practice address

8 Doctors Park
Gibson City, IL 60936-2000

Phone

(217) 784-8580

Fax

(217) 784-8586

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Claudia S Chase

Title

Office Manager

Phone

(217) 784-8912

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil R Nelson, MD

  • Internal Medicine Physician
  • Gibson City, IL
  • NPI 1386637106
  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295906667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DOCTORS PARK",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609362000",
            "telephone_number": "217-784-8580",
            "fax_number": "217-784-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DOCTORS PARK",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609362000",
            "telephone_number": "217-784-8580",
            "fax_number": "217-784-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL R NELSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-784-8912",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Mikulcik
• Erin J. Miller
• Ernest Miller, MD
• Ashlee Denae Morger, PMHNP-BC
• Georganne Morris, PT
• Kimberly Nelson Rusch, CCC SLP
• Neil R Nelson, MD
• Cara Wells Niebur, LPC
• Zachary Nordeen, D.C.
• Allison Nuss

• Internal Medicine Physician in Gibson City, IL
• Providers in Gibson City, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.