Brent D. Nelson, DO
Pediatrics, Pediatric Infectious Diseases in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1164043154
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1164043154
- Entity type
- Individual (NPI-1)
- Name
- Brent D. Nelson
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2020
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | 13289383-1204 | UT | Yes |
| 207RI0200X | Internal Medicine, Infectious Disease | 13289383-1204 | UT |
Practice location
295 S Chipeta WaySalt Lake City, UT 84108-1287
Phone 801-581-2121
Mailing address
295 S Chipeta WaySalt Lake City, UT 84108-1287
Phone 801-581-2121
Other practice locations
1501 N Campbell Ave
Tucson, AZ 85724-4330
Tucson, AZ 85724-4330
Phone 520-636-7944
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Salt Lake City, UT 84113-1125
Phone 801-442-5271
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