Individual provider Active NPI

Alex Jonathan Nelson, M.D.

  • Interventional Pain Medicine Physician
  • Murray, UT
National Provider Identifier
1730405408
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
9395185-1205 Issued in UT
Practice address
5801 S Fashion Blvd
Ste. 180
Murray, UT 84107-6159
Phone
(201) 262-7246
NPI assigned
Apr 20, 2010
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A131104 CA
Neurology Physician 2084N0400X 9395185-1205 UT
Neurology Physician 2084N0400X MD220317 OR
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X A131104 CA
Interventional Pain Medicine Physician 208VP0014X 9395185-1205 UT Primary

Addresses

Primary practice location

5801 S Fashion Blvd
Ste. 180
Murray, UT 84107-6159

Mailing address

274 N Main St
Logan, UT 84321-3915
Phone (435) 753-1600

Other practice location 1

5600 S Quebec St Ste 312A
Greenwood Village, CO 80111-2208
Phone (800) 813-2000

Other practice location 2

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

Other practice location 3

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO, GA, OH, OR, CA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20150716003247 UT Practitioner - NeurologyPractitioner - Pain Management 0143490466 Reassigns benefits to 4 organizations
I20230725000593 CO Practitioner - Neurology 0143490466 Reassigns benefits to 1 organization
I20231009001401 GA Practitioner - Neurology 0143490466 Reassigns benefits to 1 organization
I20241217003951 OH Practitioner - Neurology 0143490466 Reassigns benefits to 1 organization
I20250611003871 OR Practitioner - Neurology 0143490466 Reassigns benefits to 1 organization
I20260623000240 CA Practitioner - Neurology 0143490466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Spine Pain SpecialistsGroup PAC ID 7911039672, 8 clinicians
Blue Sky Telehealth LLCGroup PAC ID 5395155964, 71 clinicians
Interventional Spine and Pain ManagementGroup PAC ID 6204065162, 13 clinicians

Practice addresses (Care Compare)

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

520 Medical Dr
Suite 220
Bountiful, UT 84010-8932
Phone (801) 299-6824

5600 S Quebec St
Suite 312a
Greenwood Village, CO 80111-2208
Phone (303) 343-6272

5801 S Fashion Blvd
Suite 180
Murray, UT 84107-8135
Phone (801) 262-7246

713 E Ice Pond Rd
Kaysville, UT 84037-4601
Phone (385) 286-4862

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Regional Physicians Management Group, LLC CurrentSince Aug 28, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
South Salem Rehabilitation, LLC CurrentSince May 3, 2025 Accepting new patients
Advanced Spine Pain Specialists Interventional Pain Medicine CurrentSince Aug 1, 2015 Accepting new patients
Mount Carmel Health System CurrentSince Oct 22, 2024 Accepting new patients
Interventional Spine & Pain Management CurrentSince Aug 1, 2015 Accepting new patients
Mount Carmel Health System Interventional Pain Medicine CurrentSince Oct 22, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 3, 2025 Accepting new patients
Interventional Spine & Pain Management CurrentSince Aug 1, 2015 Accepting new patients
Carepoint Inpatient Blue Sky Neurology Utah, PLLC Neurology Past Accepting new patients

Locations

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

520 Medical Dr
Ste 220
Bountiful, UT 84010
Phone (801) 299-2164

970 Medical Dr
Ste 311
Brigham City, UT 84302
Phone (435) 554-8442

274 N Main St
Logan, UT 84321
Phone (435) 213-9278

1276 Wall Ave
Ste 1
Ogden, UT 84404
Phone (801) 337-4000

1276 Wall Ave
Ste 2
Ogden, UT 84404
Phone (801) 781-0651

286 N Gateway Dr
Ste 201
Providence, UT 84332
Phone (435) 363-7853

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

5801 S Fashion Blvd
Ste 180
Salt Lake City, UT 84107
Phone (801) 706-2100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDBECA

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1730405408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213915",
            "telephone_number": "435-753-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S FASHION BLVD",
            "address_2": "STE. 180",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076159",
            "telephone_number": "201-262-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 S Quebec St Ste 312A",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112208",
            "country_code": "US",
            "telephone_number": "800-813-2000",
            "fax_number": "855-524-5255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 E Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203309",
            "country_code": "US",
            "telephone_number": "559-450-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10180 SE Sunnyside Rd",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970158970",
            "country_code": "US",
            "telephone_number": "800-813-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ALEX",
        "middle_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A131104",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "9395185-1205",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD220317",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "A131104",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "UT",
            "license": "9395185-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.