NPIMap

Individual provider Active NPI

Bradford A. Nelson, MD

  • Urology Physician
  • Spokane, WA
National Provider Identifier
1962466045
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD00046288 Issued in WA
Practice address
1401 E Trent Ave # 200
Spokane, WA 99202-2902
Phone
(509) 747-3147
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD00046288 WA Primary

Addresses

Primary practice location

1401 E Trent Ave # 200
Spokane, WA 99202-2902

Mailing address

1401 E Trent Ave # 200
Spokane, WA 99202-2902

Other identifiers 2

IdentifierTypeStateIssuer
210882OtherWAL&I
8456295MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000164 WA Practitioner - Urology 5193721470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spokane Urology PLLCGroup PAC ID 5991603367, 24 clinicians

Practice addresses (Care Compare)

1401 E Trent Ave
Suite 200
Spokane, WA 99202-2902
Phone (509) 747-3147

Hospital & facility affiliations

  • Deaconess Medical Center Hospital, Spokane, WA, CCN 500044
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077
  • Lincoln Hospital Hospital, Davenport, WA, CCN 501305
  • Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection52
Removal of tissue1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00046288WAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Mar 1, 2018 Accepting new patients
Spokane Urology PLLC Urology CurrentSince Feb 2, 2022 Accepting new patients
Spokane Urology PLLC Urology CurrentSince Feb 2, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Mar 1, 2018 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

1401 E Trent Ave
#200
Spokane, WA 99202
Phone (509) 747-3147

910 W 5th Ave
Ste 801
Spokane, WA 99204
Phone (509) 755-5120

1401 E Trent Ave
Ste 200
Spokane, WA 99202
Phone (509) 747-3147

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: bnelson237202@wm.providencedirect.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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1962466045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E TRENT AVE # 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E TRENT AVE # 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022902",
            "telephone_number": "509-747-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BRADFORD",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD00046288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "210882",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8456295",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.