BRIAN GEORGE NELSON IDC
NPI 1013546548
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Brian Nelson's NPI number?

The NPI number for Brian Nelson is 1013546548. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Brian Nelson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Brian Nelson was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2020

34800 BOB WILSON DR, SAN DIEGO, CA 92134(760) 419-0943 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brian George Nelson Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN GEORGE NELSON IDC (NPI 1013546548) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since April 2020. He maintains a secondary practice location in Vista.

NPPES Registry Identity

NPI1013546548

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameBRIAN GEORGE NELSONCredential: IDC

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address1140 Amador AveVista, CA 92083-5620 · (760) 419-0943

Phone(760) 419-0943

Sole ProprietorYes

Enumeration DateApril 6, 2020

NPPES CertifiedApril 6, 2020

✔ NPI 1013546548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

34800 BOB WILSON DR, San Diego, CA 92134

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Secondary Practice Location 1

Location 11140 Amador AveVista, CA 92083-5620 · Phone (760) 419-0943

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)