BRADLEY WIMMER NELSON (NPI# 1679556591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679556591 |
| Entity Type | Individual |
| Full Name | BRADLEY WIMMER NELSON |
| Credential | MD |
| Practice Address |
6405 Day St Riverside CA 92507-0901 |
| Mailing Address |
3660 Arlington Ave Riverside CA 92506-3912 |
| Practice Telephone | 9516975455 |
| Practice Fax Number | 9516533975 |
| Mailing Telephone | 9517825110 |
| Mailing Fax Number | 9512740403 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2010-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G52306 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP SITE LOCATION | ZZZ92058Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093027799 | Bradley Clark Nelson | Internal Medicine | 9500 Gilman Drive, Mail Code 7411, University of California San Diego Health System, La Jolla, CA 92037 | 2010-07-09 |
| 1447399803 | Bradley Jerome Nelson | Dentist | 860 E Sahara Ave, #2, Las Vegas, NV 89104-3032 | 2007-02-05 |
| 1154330918 | Bradley J. Nelson | Dentist | 363 5th Ave N, Bayport, MN 55003-1232 | 2006-08-07 |
| 1619950839 | Bradley James Nelson | Orthopaedic Surgery | 2512 S 7th St, Department of Orthopaedics, R200, Minneapolis, MN 55454-1404 | 2005-11-22 |
| 1285634469 | Bradley D Nelson | Podiatrist | 207 S 30th Street, Clinton, OK 73601 | 2005-07-28 |
| 1457951543 | Bradley John Nelson | Pharmacist | 500 Crossroads Dr Sw, Rochester, MN 55902-2180 | 2020-10-28 |
| 1154952554 | Bradley Nelson | Behavior Technician | 2925 Dean Pkwy Ste 300, Minneapolis, MN 55416-7700 | 2020-02-04 |
| 1487004925 | Bradley G Nelson | Dentist | 5215 W Village Pkwy, Rogers, AR 72758-8104 | 2016-06-15 |
| 1083008924 | Bradley Eugene Nelson | Registered Nurse | 622 W 168th St, New York, NY 10032-3720 | 2015-03-27 |
| 1497175277 | Bradley Nelson | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Orthopedic Surgery, Albany, NY 12208-3412 | 2014-04-21 |
| Street Address |
6405 DAY ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-0901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165196 | Rodolfo E Saenz | Specialist | 6405 Day St, Riverside, CA 92507-0901 | 2005-06-28 |
| 1316310873 | Sheranjit Hundal | Pharmacist | 6405 Day St, Riverside, CA 92507-0901 | 2015-11-05 |
| 1831562644 | Helen Maston | Pharmacist | 6405 Day St, Riverside, CA 92507-0901 | 2015-11-03 |
| 1669856688 | Satbir Kaur Singh | Internal Medicine | 6405 Day St, Riverside, CA 92507 | 2015-07-20 |
| 1700283918 | Joseph Robles | Physician Assistant | 6405 Day St, Riverside, CA 92507-0901 | 2014-12-03 |
| 1700145562 | Denisse Forghani | Pediatrics | 6405 Day St, Riverside, CA 92507-0901 | 2012-05-14 |
| 1174801179 | Eric R. Grover | Family Medicine | 6405 Day St, Riverside, CA 92507-0901 | 2011-07-26 |
| 1063703890 | Scott Hyunsoo Lee | Internal Medicine | 6405 Day St, Riverside, CA 92507-0901 | 2011-04-27 |
| 1417262957 | Lee Estes Blanton Jr. | Student in an Organized Health Care Education/Training Program | 6405 Day St, Riverside, CA 92507-0901 | 2010-08-09 |
| 1700104320 | Robert Clark Gifford | Podiatrist | 6405 Day St, Riverside, CA 92507-0901 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309689 | Lumina Family Care, Inc. | Family Medicine | 6780 Indiana Ave Ste 110, Riverside, CA 92506-4284 | 2017-07-21 |
| 1730613019 | Iman Fobia | Family Medicine | 1971 University Avenue, Riverside, CA 92507 | 2017-04-13 |
| 1992189286 | Inpatient Consultants of California, Inc | Family Medicine | 7177 Brockton Ave Ste 217, Riverside, CA 92506-2633 | 2015-07-16 |
| 1376920116 | Koohzad Karimi | Family Medicine | 445 Magnolia Avenue, Riverside, CA 92501 | 2015-04-30 |
| 1528474103 | Ivy Cao | Family Medicine | 1971 University Ave, Family Medicine Department, Riverside, CA 92507 | 2014-07-03 |
| 1417372533 | John Mcdevitt | Family Medicine | 3550 Lillian St, Riverside, CA 92504-3609 | 2014-02-26 |
| 1972861797 | Central Occupational Medicine Providers Ontario Inc | Family Medicine | 4300 Central Ave, Riverside, CA 92506-2918 | 2012-04-30 |
| 1619241767 | Inpatient Consultants of California, Inc | Family Medicine | 3610 Central Ave Ste 205, Riverside, CA 92506-5905 | 2012-03-06 |
| 1437438033 | George Samir Nagib | Family Medicine | 7140 Indiana Ave., Riverside, CA 92504-3927 | 2011-08-12 |
| 1902193170 | Metate Medical, Inc. | Family Medicine | 3538 Central Ave, Suite 110, Riverside, CA 92506-2731 | 2011-07-07 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.