Individual provider Active NPI

Brian B Nielsen, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1316948060
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
29897 Issued in AZ
Practice address
5301 E Grant Rd
Orthopaedic BLDG, 1St Floor
Tucson, AZ 85712-2805
Phone
(520) 784-6200
Fax
(520) 784-6109
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 29897 AZ
Pediatric Orthopaedic Surgery Physician 207XP3100X 29897 AZ Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 29897 AZ
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 29897 AZ
Orthopaedic Hand Surgery Physician 207XS0106X 29897 AZ
Orthopaedic Surgery of the Spine Physician 207XS0117X 29897 AZ

Addresses

Primary practice location

5301 E Grant Rd
Orthopaedic BLDG, 1St Floor
Tucson, AZ 85712-2805

Mailing address

PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200

Other identifiers 1

IdentifierTypeStateIssuer
694845MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000410 AZ Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 2567521917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Children'S Clinics for Rehabilitative ServicesGroup PAC ID 2264503408, 22 clinicians

Practice addresses (Care Compare)

10350 E Drexel Rd
Unit 120
Tucson, AZ 85747-9409
Phone (520) 784-6560

2600 N Wyatt Dr
Tucson, AZ 85712-6106
Phone (520) 324-5437

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 784-6200

6320 N la Cholla Blvd
Suite 200
Tucson, AZ 85741-3549
Phone (520) 382-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29897AZMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Orthopaedic Institute Professional Corporation Orthopaedic Surgery CurrentSince Aug 1, 2002 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Orthopaedic Surgery CurrentSince Aug 1, 2002 Accepting new patients
Children'S Clinics for Rehabilitative Services CurrentSince Sep 1, 2007 Accepting new patients
Tucson Medical Center Past Accepting new patients

Locations

1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285

10350 E Drexel Rd
Ste 210
Tucson, AZ 85747
Phone (520) 625-6600

5301 E Grant Rd
Bldg 1
Tucson, AZ 85712

750 N Alvernon Way
Tucson, AZ 85711
Phone (520) 321-1746

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5301 E Grant Rd
Fl 1
Tucson, AZ 85712
Phone (520) 640-1200

10350 E Drexel Rd
Unit 120
Tucson, AZ 85747
Phone (520) 420-2280

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741

5301 E Grant Rd
Bldg 1ST
Tucson, AZ 85712

6320 N La Cholla Blvd
Ste 310
Tucson, AZ 85741
Phone (520) 219-9125

Interoperability endpoints

  • Direct secure messaging: bnielsen@tucsonortho.emadirect.md

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1316948060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31630",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511630",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "address_2": "ORTHOPAEDIC BLDG, 1ST FLOOR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122805",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "BRIAN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "29897",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "AZ",
            "license": "29897",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "29897",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "AZ",
            "license": "29897",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "AZ",
            "license": "29897",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "29897",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694845",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.