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ALAN S. NELSON D.O. PC
NPI 1184993586
Family Medicine in Burley, ID

Active since December 14, 2011
1404 POMERELLE AVE., SUITE A2, BURLEY, ID 83318(208) 878-8817 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2017, Oct 26, 2017 (2 updates tracked since 2017).

About Alan S. Nelson D.o. Pc NPPES

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

ALAN S. NELSON D.O. PC (NPI 1184993586) is a healthcare organization registered as a family medicine in Burley, Idaho and active in the NPI registry since December 2011. The organization lists Alan S. Nelson, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1184993586
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALAN S. NELSON D.O. PC
Location Address1404 POMERELLE AVE., SUITE A2Burley, ID 83318-1564
Mailing Address1404 Pomerelle Ave Ste A2Burley, ID 83318-2013 · (208) 878-8817 · Fax (208) 878-3544
Phone(208) 878-8817
Organization SubpartNo
Authorized OfficialAlan S. NelsonPhysician/owner · (208) 878-8817
Enumeration DateDecember 14, 2011
Last NPPES UpdateDecember 4, 20172 updates tracked since enumeration
✔ NPI 1184993586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · O143
Definition
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.
1404 POMERELLE AVE., Burley, ID 83318
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Other Names 1

Doing Business AsAlan S. Nelson D.o. Pc

Other Identifiers 2

Medicaid804255700ID
Medicare UPIN1301698ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Alan S. Nelson D.O. PC's NPI number?

The NPI number for Alan S. Nelson D.O. PC is 1184993586. It was assigned to this organization in the NPPES registry on December 14, 2011.

Where is Alan S. Nelson D.O. PC located?

Alan S. Nelson D.O. PC is located at 1404 Pomerelle Ave. Suite A2, Burley, ID 83318. The listed phone number is (208) 878-8817.

What is Alan S. Nelson D.O. PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Alan S. Nelson D.O. PC was last updated on December 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.