DR. DOUGLAS BRENT NIELSEN MD
NPI 1366481806
Pediatrics in Bountiful, UT

Active since June 06, 2006
390 N MAIN ST, BOUNTIFUL, UT 84010(801) 294-1080(801) 292-8369 Get Directions Write a Review

NPPES record last updated: June 26, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas Brent Nielsen Md NPPES

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

DR. DOUGLAS BRENT NIELSEN MD (NPI 1366481806) is an individual pediatrics provider in Bountiful, Utah, licensed in Utah (1648271205) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1366481806
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DOUGLAS BRENT NIELSENCredential: MD
Location Address390 N MAIN STBountiful, UT 84010-6046
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 294-1080 · Fax (801) 292-8369
Fax(801) 292-8369
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateJune 26, 2009
NPI 1366481806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in UT · 1648271205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
390 N MAIN ST, Bountiful, UT 84010

Other Identifiers 3

Medicare PIN005529509UT
Medicare UPING80806UT
Medicaid942854057086UT

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.

Nurse Practitioner
390 N MAIN ST
BOUNTIFUL, UT 84010
Internal Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Nurse Practitioner (Family)
390 N MAIN ST
BOUNTIFUL, UT 84010
Pediatrics
390 N MAIN ST
BOUNTIFUL, UT 84010
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010

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 Douglas Nielsen's NPI number?

The NPI number for Douglas Nielsen is 1366481806. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Douglas Nielsen located?

Douglas Nielsen practices at 390 N Main St, Bountiful, UT 84010. The listed phone number is (801) 294-1080.

What is Douglas Nielsen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Douglas Nielsen was last updated on June 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.