Active NPI
Brian J. Nelson, M.D.
- Family Medicine Physician
- Dubuque, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34211
- Practice address
- 4025 Westmark Dr
Dubuque, IA 52002-2626 - Phone
- (563) 583-9300
- Fax
- (563) 557-5574
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34211 | IA | Primary |
Addresses
Primary practice location
4025 Westmark Dr
Dubuque, IA 52002-2626
Mailing address
1515 Delhi St Ste 100
Dubuque, IA 52001-6320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5212845 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031209001000 | IA | Practitioner - Family Practice | 8527964675 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
1515 Delhi St
Suite 100
Dubuque, IA 52001-6320
Phone (563) 557-9111
4025 Westmark Dr
Suite 100
Dubuque, IA 52002-2626
Phone (563) 583-9300
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
Hospital & facility affiliations
- Unitypoint at Home
- Finley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34211 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Eastern Iowa Health Center | Family Medicine | Past | Accepting new patients |
| Dubuque Family Practice, PC | Family Medicine | Past | Accepting new patients |
| Mercy Medical Center | Past | Accepting new patients |
Locations
1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161
104 Broadway Pl
Anamosa, IA 52205
Phone (319) 462-5817
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
3500 Dodge St
Ste 135
Dubuque, IA 52003
Phone (563) 557-3935
4025 Westmark Dr
Ste 100
Dubuque, IA 52002
Phone (563) 583-9300
245 Railroad Ave
Ste F1
Dubuque, IA 52003
Phone (563) 557-3930
1515 Delhi St
Ste 100
Dubuque, IA 52001
Phone (319) 557-9111
1600 1st St E
Independence, IA 50644
Phone (319) 332-0999
Interoperability endpoints
- brian.nelson@grandrivermedicalgroup.eclinicaldirectplus.com
- bnelson142258@direct.unitypoint.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Family Medicine, IA
-
- Clinical Medical Laboratory
- Cedar Falls, IA
- NPI 1538617840
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Medical Specialty Clinic/Center
- Dubuque, IA
- NPI 1467411611
Family Medicine
-
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1578753703
Family Medicine
-
- Psychiatry Physician
- Cedar Rapids, IA
- NPI 1700834165
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dubuque, IA
- NPI 1720187560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1912966532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 DELHI ST STE 100",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 WESTMARK DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520022626",
"telephone_number": "563-583-9300",
"fax_number": "563-557-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "BRIAN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "34211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5212845",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- 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.