NPIMap

Organization Active NPI

Brian Nelson MD PLLC

  • Primary Care Clinic/Center
  • Cleburne, TX
National Provider Identifier
1629630249
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BRIAN NELSON MD PLLC
Practice address
1208 W Henderson St Ste C
Cleburne, TX 76033-8731
Phone
(682) 317-1537
Fax
(682) 317-1553
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Brian Nelson, MDNPI 1255499943
Title
MD/Owner
Phone
(682) 317-1537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1208 W Henderson St Ste C
Cleburne, TX 76033-8731

Mailing address

PO Box 936
Cleburne, TX 76033-0936
Phone (682) 317-1500

Other names 1

  • Family Practice TX Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200115000148 TX Part B Supplier - Clinic/Group Practice 6800221110 Receives reassigned benefits from 6 practitioners
Practice locations: Cleburne, TX; Lancaster, TX; Fort Worth, TX; Benbrook, TX

National Provider Directory

National Provider Directory

Locations

8735 Benbrook Blvd
Ste A
Benbrook, TX 76126
Phone (682) 301-3400

8735 Benbrook Blvd
Ste 8735A
Benbrook, TX 76126
Phone (682) 301-3400

111 Hyde Park Blvd
Cleburne, TX 76033

111 Hyde Park Blvd
Ste 100
Cleburne, TX 76033
Phone (682) 317-1193

1208 W Henderson St
Ste C
Cleburne, TX 76033
Phone (682) 317-1537

1208 W Henderson St
Ste A
Cleburne, TX 76033
Phone (682) 317-1500

1208 W Henderson St
#C
Cleburne, TX 76033

1450 W Pleasant Run Rd
Ste 104
Lancaster, TX 75146
Phone (469) 726-2073

1450 W Pleasant Run Rd
Ste 104B
Lancaster, TX 75146
Phone (682) 549-8333

601 E FM 544
Ste 400
Murphy, TX 75094
Phone (972) 442-4700

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1629630249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760330936",
            "telephone_number": "682-317-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W HENDERSON ST STE C",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760338731",
            "telephone_number": "682-317-1537",
            "fax_number": "682-317-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN NELSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "682-317-1537",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice TX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.