Brent Richard Nelson

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

License

078408 Issued in OR

Practice address

1106 S Commercial Way SE
Albany, OR 97322-7034

Phone

(503) 507-8710

NPI assigned

Mar 25, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1700636701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1114",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210534",
            "telephone_number": "503-507-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 S COMMERCIAL WAY SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973227034",
            "telephone_number": "503-507-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 S Commercial Way SE",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973227034",
            "country_code": "US",
            "telephone_number": "503-507-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BRENT",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "OR",
            "license": "078408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Annette Neal
• Tyler Scott Neal, MSW
• Kenneth Nealy, RN
• Anthony James Nehren
• Michael C Neiman, LCSW
• Christine Nelson, OTR/L
• Danette Aleen Nelson, FNP
• Donald R Nelson, PHD
• Elizabeth Ann Nelson, PTA
• Lisa Michelle Nelson

• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Albany, OR
• Providers in Albany, OR by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.