MR. BRADY PAUL NELSON P.A.-C NPI 1922103407

NPI Information

  • NPI: 1922103407
  • Provider Name: MR. BRADY PAUL NELSON, P.A.-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13943 N . 91ST AVE BUILDING I
    PEORIA, AZ
    ZIP 85381
  • Phone: (623) 815-2690

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NPI Details

MR. Brady Paul Nelson, P.A.-C is a medical physician assistant in Peoria, AZ with 24 years of experience. MR. Brady Paul Nelson, P.A.-C NPI is 1922103407. 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:

13943 N . 91ST AVE BUILDING I
PEORIA, AZ
ZIP 85381-692
Phone: (623) 815-2690
Fax: (623) 815-2689

The NPI 1922103407 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of additional new drug or substance into vein (HCPCS:96375)
  • Injection, diphenhydramine hcl, up to 50 mg (HCPCS:J1200)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Administration of chemotherapy into vein, each additional hour (HCPCS:96415)
  • Administration of chemotherapy into vein, 1 hour or less (HCPCS:96413)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)

The enumeration date for this NPI number is 9/13/2006 and was last updated on 2/17/2012.

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
1363AM0700XPhysician AssistantMedical2677ARIZONAYes

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
1736077MEDICAIDARIZONA
22677MEDICAIDARIZONA

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: 11/21/2025

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