Brian Russell Nelson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17693 Issued in NC

Practice address

1211 Virginia St
Greensboro, NC 27401-1313

Phone

(336) 275-0927

Fax

(336) 275-4834

NPI assigned

Feb 1, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

90.12 of 100Reported as group

Quality

80.57

Promoting interoperability

100

Improvement activities

40

Cost

77.81

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bnelson484434@direct.conehealth.com

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.

• Moses Cone Medical Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1427095249
  Medicare reassignment NPD
• Moses Cone Physician Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1093953127
  Medicare reassignment NPD
• Moses Cone Medical Services, Inc.

  • Family Medicine Physician
  • Madison, NC
  • NPI 1629376363
  NPD
• Moses Cone Physician Services Inc

  • Hospitalist Physician
  • Greensboro, NC
  • NPI 1326363383
  NPD
• Moses Cone Physician Services, Inc.

  • Orthopaedic Surgery Physician
  • Greensboro, NC
  • NPI 1427680768
  NPD

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1366941692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 FOUST ST STE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035476",
            "telephone_number": "336-625-2333",
            "fax_number": "336-625-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 VIRGINIA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011313",
            "telephone_number": "336-275-0927",
            "fax_number": "336-275-4834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Randolph Health Deep River Physical Therapy",
            "address_2": "600 W Salisbury Street Suite A",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035591",
            "country_code": "US",
            "telephone_number": "336-629-6397",
            "fax_number": "336-629-6939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BRIAN",
        "middle_name": "RUSSELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bnelson484434@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1211 Virginia St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caroline Michelle Neill, CNM
• Nelson Transportation Services LLC.
• Rosemery Nelson-Gray, PH.D., HSP-P
• Tara Lee Nelson-Nerenberg, PHARM D
• Allison Nelson, LCSWA
• Catherine E Nelson
• Dana Graves Nelson, AGNP
• Dana Marie Nelson, MS, OTR/L
• Erik Daniel Nelson, M.A., HSP-PA
• Kelly Lyn Nelson

• Physical Therapist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.