CRAIG BRADLEY NELSON (NPI# 1366634602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366634602 |
| Entity Type | Individual |
| Full Name | CRAIG BRADLEY NELSON |
| Credential | D.C. |
| Practice Address |
12309 Gold St Omaha NE 68144-2760 |
| Practice Telephone | 4023341200 |
| Practice Fax Number | 4023340998 |
| Mailing Telephone | 4023341200 |
| Mailing Fax Number | 4023340998 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2010-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 707 | NE | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47081351800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225502719 | Craig H Nelson | Registered Nurse | 16125 Woodlawn Acres Ave, Baton Rouge, LA 70817-5653 | 2019-01-17 |
| 1578707493 | Craig L. Nelson | Optometrist | 9 N. Beech St., Cortez, CO 81321-3205 | 2009-04-22 |
| 1861670325 | Craig Nelson | Emergency Medicine | 6665 W Timber Ln, Ludington, MI 49431-1063 | 2008-02-07 |
| 1396950176 | Craig Lee Nelson | Dentist | 405 Union St, Lagrange, IN 46761-2234 | 2007-05-14 |
| 1477682904 | Craig Edward Nelson | Occupational Therapist | 7th and Albemarle St, Petersburg, VA 23803-0030 | 2007-03-02 |
| 1306861653 | Craig Livezey Nelson | Dentist | Va Health Care System, 10,000 Bay Pines Boulvard, Saint Petersburg, FL 33708 | 2006-07-13 |
| 1053301481 | Craig Nelson | Chiropractor | 1539 Crescent Rd, Clifton Park, NY 12065-7701 | 2005-10-26 |
| 1164031423 | Craig Nelson | Counselor | 104 Sw Kinkade Ave, Boardman, OR 97818 | 2020-07-23 |
| 1174131627 | Craig Nelson | Pathology | 4312 District Dr, Raleigh, NC 27607-5490 | 2020-07-21 |
| 1184712416 | Craig Nelson | Emergency Medicine | 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109-3550 | 2006-10-11 |
| Street Address |
12309 GOLD ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285741561 | Nelson Chiropractic Clinic | Chiropractor | 12309 Gold St, Omaha, NE 68144 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713674 | Dalton Sealey | Chiropractor | 4638 Dodge St, Omaha, NE 68132-3234 | 2020-09-01 |
| 1154935807 | Bruce Eshelman | Chiropractor | 909 Capitol Ave Apt 507, Omaha, NE 68102-1295 | 2020-09-01 |
| 1154965473 | Cassandra Thielen | Chiropractor | 18010 R Plz Ste 104, Omaha, NE 68135-1923 | 2019-10-30 |
| 1619539012 | Abundance Chiropractic, LLC | Chiropractor | 18111 Q St Ste 104, Omaha, NE 68135-1245 | 2019-07-05 |
| 1083275317 | Tara Carlson | Chiropractor | 3808 S 203rd Plz Ste 400, Omaha, NE 68130-6402 | 2019-06-26 |
| 1144791658 | Klink Chiropractic & Acupuncture, PC | Chiropractor | 2527 S 140th Ave, Omaha, NE 68144-2301 | 2018-12-10 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1497239560 | Sarpy Chiropractic Millard | Chiropractor | 4909 S 135th St Ste 104, Omaha, NE 68137-1657 | 2018-09-24 |
| 1962904334 | Louis Nutter | Chiropractor | 14450 Meadows Blvd, Omaha, NE 68138-3896 | 2018-03-01 |
| 1073021796 | Derek Virgl | Chiropractor | 17785 Mason St Ste 101, Omaha, NE 68118-3526 | 2018-01-16 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.