John Thomas Nelson Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

34346 Issued in AL

Practice address

840 Montclair Rd
Suite 317
Birmingham, AL 35213-1920

Phone

(205) 599-4822

NPI assigned

May 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• West Jefferson Radiology, LLC

  • Diagnostic Radiology Physician
  • Bessemer, AL
  • NPI 1053875278
  Medicare reassignment NPD
• Baptist Health System, Inc.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1598711616
  NPD (past)
• Baptist Health System, Inc.

  • Internal Medicine Physician
  • Irondale, AL
  • NPI 1821031824
  NPD (past)

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1356753792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MONTCLAIR RD",
            "address_2": "SUITE 317",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MONTCLAIR RD",
            "address_2": "SUITE 317",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131920",
            "telephone_number": "205-599-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-20",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "34346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Pierce Nelson, DO
• Cade Joseph Nelson, MD
• Gretchen L Nelson, M.S.,CC-A
• James K. Nelson, CRNA
• Jennifer Crystal Nelson, LICSW
• Jon Bradley Nelson, PHARM.D.
• Katherine Grace Nelson
• Kathy Brooks Nelson, RPH
• Kirsten Nelson, CRNA
• Lacey Jean Nelson, C.R.N.P.

• Diagnostic Radiology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.