Individual provider Active NPI

Bruce Neal Nelson, M.D.

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1659379253
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD029641-E Issued in PA
Practice address
135 Cumberland Rd
Ste. 202
Pittsburgh, PA 15237-5447
Phone
(412) 366-4680
Fax
(412) 366-4681
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD029641-E PA Primary

Addresses

Primary practice location

135 Cumberland Rd
Ste. 202
Pittsburgh, PA 15237-5447

Mailing address

135 Cumberland Rd
Ste. 202
Pittsburgh, PA 15237-5447
Phone (412) 366-4680

Other identifiers 2

IdentifierTypeStateIssuer
110011970OtherPARAILROAD MEDICARE
0797811MedicaidPA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD029641-EPAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1659379253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CUMBERLAND RD",
            "address_2": "STE. 202",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375447",
            "telephone_number": "412-366-4680",
            "fax_number": "412-366-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CUMBERLAND RD",
            "address_2": "STE. 202",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375447",
            "telephone_number": "412-366-4680",
            "fax_number": "412-366-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BRUCE",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD029641-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110011970",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0797811",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.