Individual
DR. BRIAN S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Mailing address
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
39414
CO
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
39414
CO
207VG0400X
Gynecology Physician
DR.0039414
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01878751
—
CO
Enumeration date
07/07/2005
Last updated
09/27/2019
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