Individual provider Active NPI

Wendy Gale Nelson-Brown, M.D.

  • Pediatrics Physician
  • Toledo, OH
National Provider Identifier
1386640191
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35075902 Issued in OH
Practice address
2150 W Central Ave
Toledo, OH 43606-3846
Phone
(419) 291-7861
Fax
(419) 291-6466
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35075902 OH Primary

Addresses

Primary practice location

2150 W Central Ave
Toledo, OH 43606-3846

Mailing address

2150 W Central Ave
Toledo, OH 43606-3846
Phone (419) 291-7861

Other identifiers 1

IdentifierTypeStateIssuer
2227727MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wnelsonbrown13437@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100201000812 OH Practitioner - Pediatric Medicine 0749323608 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jul 13, 2010 Accepting new patients
Promedica Central Physicians CurrentSince Jul 13, 2010 Accepting new patients
Qualified Emergency Specialists Inc Past Accepting new patients
Toledo Childrens Hospital Past Accepting new patients
The Toledo Hospital Pediatrics Past Accepting new patients
Observation Physicians of Northwest Ohio LLC PastSince Mar 21, 2021 Accepting new patients
Emergency Physicians of Northwest Ohio Inc. Past Accepting new patients

Locations

2142 N Cove Blvd
#5
Toledo, OH 43606
Phone (419) 291-7815

2142 N Cove Blvd
#5N
Toledo, OH 43606
Phone (419) 291-4637

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2150 W Central Ave
Toledo, OH 43606
Phone (419) 291-2200

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282

Interoperability endpoints

  • Direct secure messaging: wnelsonbrown13437@direct.promedica.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1386640191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063846",
            "telephone_number": "419-291-7861",
            "fax_number": "419-291-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063846",
            "telephone_number": "419-291-7861",
            "fax_number": "419-291-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-BROWN",
        "first_name": "WENDY",
        "middle_name": "GALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35075902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2227727",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wnelsonbrown13437@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.