Brady Paul Nelson, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2677 Issued in AZ

Practice address

13943 N . 91St Ave Building I
Peoria, AZ 85381-3692

Phone

(623) 815-2690

Fax

(623) 815-2689

NPI assigned

Sep 13, 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 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley Arthritis Care LLCGroup PAC ID 1456345115, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brady.nelson@valleyarthritiscare.directbygreenway.com

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.

• Valley Arthritis Care LLC

  • Rheumatology Physician
  • Peoria, AZ
  • NPI 1114965779
  Medicare reassignment Care Compare group
• Orange Medical LLC

  • Interventional Pain Medicine Physician
  • Chandler, AZ
  • NPI 1497178081
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1922103407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13943 N. 91ST AVE BUILDING I",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813692",
            "telephone_number": "623-815-2690",
            "fax_number": "623-815-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N . 91ST AVE BUILDING I",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813692",
            "telephone_number": "623-815-2690",
            "fax_number": "623-815-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BRADY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "736077",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2677",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nca Holdings of Arizona, LLC
• Sophie Enjema Mbua Ndumbe
• Brent Neal
• Tamara S Nedley, COTA/L
• Hannah Neiyer, FNP-C
• Danny A Nelson, MD
• Darrin John Nelson, D.M.D.
• Arutyun Nenedzhyan
• Neo Matrix Anesthesia LLC
• Neptune Medical Services LLC

• Medical Physician Assistant in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.

Verify at the official NPI Registry.