Individual provider Active NPI

Brian William Nielsen, M.D.

  • Obstetrics & Gynecology Physician
  • Kalamazoo, MI
National Provider Identifier
1851342349
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301078174 Issued in MI
Practice address
601 John St Ste N1100
Kalamazoo, MI 49007
Phone
(269) 341-7887
NPI assigned
May 12, 2006
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 042.0012157 VT
Obstetrics & Gynecology Physician 207V00000X 4301078174 MI Primary
Maternal & Fetal Medicine Physician 207VM0101X 21228 ND
Maternal & Fetal Medicine Physician 207VM0101X C2939 KY

Addresses

Primary practice location

601 John St Ste N1100
Kalamazoo, MI 49007

Mailing address

601 John St Ste N1100
Kalamazoo, MI 49007-5349
Phone (269) 341-7887

Other practice location 1

111 Colchester Ave
ACC, MP, Level 4
Burlington, VT 05401-1473
Phone (802) 847-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, ND, KY, OH, AL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20060630000009 MI Practitioner - Obstetrics/Gynecology 6709898190 Reassigns benefits to 4 organizations
I20240724001888 ND Practitioner - Obstetrics/Gynecology 6709898190 Reassigns benefits to 1 organization
I20240913002577 KY Practitioner - Obstetrics/Gynecology 6709898190 Reassigns benefits to 1 organization
I20240913003289 OH Practitioner - Obstetrics/Gynecology 6709898190 Reassigns benefits to 1 organization
I20250224001823 AL Practitioner - Obstetrics/Gynecology 6709898190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1951 Bishop Lane
4TH Floor
Louisville, KY 40218-1923

PO Box
Suite 776351
Chicago, IL 60677-6351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042.0012157VTMDObstetrics & Gynecology Physician
C2939KYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Obstetrics & Gynecology CurrentSince Aug 5, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 19, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2021 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Western Michigan University School of Medicine CurrentSince Jun 17, 2022 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Bronson Methodist Hospital Obstetrics & Gynecology CurrentSince Jul 27, 2017 Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Current Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Mar 10, 2025 Accepting new patients
Sanford Bismarck CurrentSince Jul 10, 2024 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Dec 1, 2021 Accepting new patients
USA Health Physician Billing Services LLC Obstetrics & Gynecology CurrentSince Mar 10, 2025 Accepting new patients
Sanford Bismarck CurrentSince Jul 10, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 19, 2024 Accepting new patients
Premier Health Specialists Inc CurrentSince Aug 5, 2024 Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

8175 Reliable Pkwy
Chicago, IL 60686

601 S Floyd St
Ste 700
Louisville, KY 40202
Phone (502) 629-7181

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste N1100
Kalamazoo, MI 49007
Phone (269) 341-7887

1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

2350 Miami Valley Dr
Ste 410
Centerville, OH 45459
Phone (937) 281-2370

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Interoperability endpoints

  • Direct secure messaging: bnielsen296624@direct.nortonhealthcare.org
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1851342349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST STE N1100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075349",
            "telephone_number": "269-341-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST STE N1100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49007",
            "telephone_number": "269-341-7887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_2": "ACC, MP, Level 4",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VT",
            "license": "042.0012157",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301078174",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "ND",
            "license": "21228",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "KY",
            "license": "C2939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.