Individual provider Active NPI

Bruce R. Nelson, M.D.

  • MOHS-Micrographic Surgery Physician
  • Houston, TX
National Provider Identifier
1740377621
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
H0677 Issued in TX
Practice address
7737 Southwest Fwy
Suite 930
Houston, TX 77074-1818
Phone
(713) 981-6222
Fax
(713) 981-6266
NPI assigned
Oct 10, 2006
Last updated
Oct 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X H0677 TX Primary

Addresses

Primary practice location

7737 Southwest Fwy
Suite 930
Houston, TX 77074-1818

Mailing address

7737 Southwest Fwy
Suite 930
Houston, TX 77074-1818
Phone (713) 981-6222

Other identifiers 1

IdentifierTypeStateIssuer
1296535-06MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000986 TX Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 1759370927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Texas Medical School at Houston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7737 Southwest Fwy
Suite 930
Houston, TX 77074-1818
Phone (713) 981-6222

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision60
Removal of tissue1-10
Removal of skin lesions532
Removal of skin cancer349
Removal of nail tissue1-10
Skin biopsy278

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologic Surgery Center of Houston, P.a. Mohs-Micrographic Surgery CurrentSince Apr 2, 2001 Accepting new patients

Locations

7737 Southwest Fwy
Ste 930
Houston, TX 77074
Phone (713) 981-6222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1740377621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY",
            "address_2": "SUITE 930",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741818",
            "telephone_number": "713-981-6222",
            "fax_number": "713-981-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY",
            "address_2": "SUITE 930",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741818",
            "telephone_number": "713-981-6222",
            "fax_number": "713-981-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BRUCE",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "H0677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1296535-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.