DR. DAVID BRIAN NELSON M.D. NPI 1760441240

NPI Information

NPI: 1760441240
Provider Name: DR. DAVID BRIAN NELSON, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
410 S HERLONG AVE
SUITE 103
ROCK HILL, SC
ZIP 29732
Phone: (803) 985-3937
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DR. David Brian Nelson, M.D. is a general practice in Rock Hill, SC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. David Brian Nelson, M.D. NPI is 1760441240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

410 S HERLONG AVE
SUITE 103
ROCK HILL, SC
ZIP 29732-349
Phone: (803) 985-3937
Fax: (803) 985-3922

The NPI 1760441240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 8/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		22281	SOUTH CAROLINA	No
2	208D00000X	General Practice		22281	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	22281	OTHER	SOUTH CAROLINA	SC LICENSE
2	1437370657	OTHER		GROUP NPI
3	GP4138	MEDICAID	SOUTH CAROLINA
4	201017243	OTHER	SOUTH CAROLINA	FEDERAL TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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