Bobby W Nelson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101018672 Issued in VA

Practice address

9200 Forest Hill Ave
Suite C-2
Richmond, VA 23235-6867

Phone

(804) 323-3262

Fax

(804) 330-3827

NPI assigned

Mar 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 18, 2020 through Sep 18, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1851352108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 FOREST HILL AVE",
            "address_2": "SUITE C-2",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232356867",
            "telephone_number": "804-323-3262",
            "fax_number": "804-330-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 FOREST HILL AVE",
            "address_2": "SUITE C-2",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232356867",
            "telephone_number": "804-323-3262",
            "fax_number": "804-330-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BOBBY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101018672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7110413",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devin Nelson-Hence
• Alexis Ann Nelson, DO
• Amy Robbins Bowering Nelson, MD
• Bergen Ballard Nelson, M.D.
• Beverly L Nelson, LCSW BCD
• Brooke Nelson, CRNA
• Bryce Allen Nelson, MD
• Charles W. Nelson III, MD
• Cheryl Hall Nelson
• Christine Ann Nelson, PH.D.

• Psychiatry Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.