Individual provider Active NPI

Michael Bradley Nelson, M.D., M.P.H.

  • Pediatrics Physician
  • Kansas City, KS
National Provider Identifier
1477971141
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-43510 Issued in KS
Practice address
2000 Olathe Blvd
Suite 3B
Kansas City, KS 66160-2620
Phone
(913) 588-6300
Fax
(913) 274-3515
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X 04-43510 KS
Pediatric Rheumatology Physician 2080P0216X 2024014447 MO
Pediatrics Physician 208000000X 04-43510 KS Primary

Addresses

Primary practice location

2000 Olathe Blvd
Suite 3B
Kansas City, KS 66160-2620

Mailing address

2106 Olathe Blvd Mailstop 4004
Kansas City, KS 66160-0001
Phone (913) 588-5000

Other practice location 1

4000 Cambridge St
Kansas City, KS 66160-2620
Phone (913) 588-6300

Other practice location 2

1000 E 101st Ter
Kansas City, MO 64131-3366
Phone (913) 588-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200924001428 KS Practitioner - Pediatric Medicine 7012226657 Reassigns benefits to 1 organization
I20250305001883 MO Practitioner - Pediatric Medicine 7012226657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians

Practice addresses (Care Compare)

1000 E 101St Ter
Kansas City, MO 64131-3366
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-43510KSMDPediatrics Physician
2024014447MOMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Pediatrics CurrentSince Aug 16, 2020 Accepting new patients
Kansas University Physicians Inc Pediatrics Current Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince Aug 16, 2020 Accepting new patients
University of Kansas Hospital Authority Past Accepting new patients
Kansas University Physicians Inc Past Accepting new patients

Locations

2000 Olathe
Ste 3B
Kansas City, KS 66160

2000 Olathe
#3B
Kansas City, KS 66160

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

Interoperability endpoints

  • Direct secure messaging: mnelson1688@direct.kuha.org

Organizations & group practices 6

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1477971141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 OLATHE BLVD MAILSTOP 4004",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OLATHE BLVD",
            "address_2": "SUITE 3B",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661602620",
            "telephone_number": "913-588-6300",
            "fax_number": "913-274-3515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661602620",
            "country_code": "US",
            "telephone_number": "913-588-6300",
            "fax_number": "913-274-3515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E 101st Ter",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641313366",
            "country_code": "US",
            "telephone_number": "913-588-3402",
            "fax_number": "913-574-2891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHAEL",
        "middle_name": "BRADLEY",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "KS",
            "license": "04-43510",
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "MO",
            "license": "2024014447",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-43510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.