Individual provider Active NPI

Bruce Paul Nelson, LMT

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1447762810
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101388 Issued in AK
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

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
101388AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Energy Current Accepting new patients
Sundog Wellness LLC PastSince Jun 9, 2026 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.

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.

Verify at the official NPI Registry.