Bruce C Nielson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

983650451202 Issued in UT

Practice address

7400 Union Park Ave Ste 301
Midvale, UT 84047-6707

Phone

(801) 568-1598

Fax

(801) 568-1594

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports Chiropractic and Wellness Center PC

  dba Optimal Wellness Center

  • Chiropractor
  • Midvale, UT
  • NPI 1356643001
  Medicare reassignment Authorized official
• Impact Health & Wellness LLC

  dba Optimal Wellness Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Midvale, UT
  • NPI 1073342358
  NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720124761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 UNION PARK AVE STE 301",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476707",
            "telephone_number": "801-568-1598",
            "fax_number": "801-568-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 UNION PARK AVE STE 301",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476707",
            "telephone_number": "801-568-1598",
            "fax_number": "801-568-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "BRUCE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "983650451202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sione Ngatuvai, CASE MANAGEMENT
• Sarena Nguyen
• Amanda Nickels, PA
• Seth Andrew Niedermeyer
• Mia Nielsen, MSW
• Eve Nichole Nigro, M.A.
• Heather Norman
• Victoria Norton
• Raphael Nutakor
• Katherine Lynn O'Brien, DNP, FNP, BC

• Chiropractor in Midvale, UT
• Providers in Midvale, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.