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BRENT D. NELSON DO
NPI 1164043154
Pediatrics - Pediatric Infectious Diseases in Salt Lake City, UT

Active since April 30, 2020PECOS Enrolled
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 581-2121 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent D. Nelson Do NPPES

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

BRENT D. NELSON DO (NPI 1164043154) is an individual pediatric infectious diseases provider in Salt Lake City, Utah, licensed in Utah (13289383-1204) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1164043154
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameBRENT D. NELSONCredential: DO
Location Address295 S CHIPETA WAYSalt Lake City, UT 84108-1287
Mailing Address295 S Chipeta WaySalt Lake City, UT 84108-1287 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorNo
Enumeration DateApril 30, 2020
Last NPPES UpdateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1164043154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in UT · 13289383-1204
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
295 S CHIPETA WAY, Salt Lake City, UT 84108
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Secondary Practice Location 1

Location 11501 N Campbell AveTucson, AZ 85724-4330 · Phone (520) 636-7944

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brent D. Nelson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KELLY STOUT PHD
Psychologist
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 213-3469
MALIA MONICA OLSON
Genetic Counselor, MS
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400
ALEX NICOLE HESS NNP-BC
Nurse Practitioner (Neonatal)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 558-8276
DR. DAWN M. MAXEY MD
Pediatrics (Pediatric Critical Care Medicine)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
KATHRYN L. SONGER MD
Pediatrics (Pediatric Critical Care Medicine)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7572
LAUREN MOLLY STERNBERG MD
Student in an Organized Health Care Education/Training Program
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 662-5700
RACHEL WILLIS
Nurse Practitioner (Neonatal)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400
DR. ERIN L. GOSEKAMP DO, MPH, MS
Pediatrics (Pediatric Critical Care Medicine)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Nelson's NPI number?

The NPI number for Brent Nelson is 1164043154. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Brent Nelson located?

Brent Nelson practices at 295 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 581-2121.

What is Brent Nelson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Brent Nelson enrolled in Medicare?

Yes. Brent Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brent Nelson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.