Active NPI
Bruce Paul Nelson, LMT
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1447762810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 101388
- Practice address
- 3343 Fairbanks St
Anchorage, AK 99503-4145 - Phone
- (907) 336-6692
- Fax
- (907) 336-6690
- NPI assigned
- Oct 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 101388 | AK | Primary |
Addresses
Primary practice location
3343 Fairbanks St
Anchorage, AK 99503-4145
Mailing address
11027 Katlian Dr
Eagle River, AK 99577-8124
Phone (907) 441-6310
Other practice location 1
11027 Katlian Dr
Eagle River, AK 99577-8124
Phone (907) 441-6310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101388 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Energy | Current | Accepting new patients | |
| Sundog Wellness LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Eagle River, AK
- NPI 1780054031
-
- Chiropractor
- Anchorage, AK
- NPI 1821577032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1447762810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11027 KATLIAN DR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778124",
"telephone_number": "907-441-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3343 FAIRBANKS ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034145",
"telephone_number": "907-336-6692",
"fax_number": "907-336-6690"
}
],
"practiceLocations": [
{
"address_1": "11027 Katlian Dr",
"address_purpose": "LOCATION",
"city": "Eagle River",
"state": "AK",
"postal_code": "995778124",
"country_code": "US",
"telephone_number": "907-441-6310",
"fax_number": "907-726-1035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "BRUCE",
"middle_name": "PAUL",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-25",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "101388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.