Active NPIIndividual provider

Alan M Nelson, MD

Internal Medicine in Bridgeport, Connecticut

NPI Number1720006117
Practice location
4641 Main St Ste 1, Bridgeport, CT 06606-1827
Fax
203-371-7024
Last updated
December 6, 2022

Alan M Nelson is an Internal Medicine based in Bridgeport, CT. Alan M Nelson practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Alan M Nelson is 1720006117 and holds a License No. 019537 (CT). The current practice location address for Alan M Nelson is 4641 Main St Ste 1, Bridgeport, CT 06606-1827 and can be reached out via phone at 203-374-4966 and via fax at 203-371-7024.

Provider Profile Details

NPI Number
1720006117
Provider Name
Alan M Nelson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4641 Main St Ste 1, Bridgeport, CT 06606-1827
Phone Number
203-374-4966
Fax Number
203-371-7024
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
July 17, 2006
Last Update Date
December 6, 2022
Certification Date
December 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
4641 Main St Ste 1
Bridgeport, CT 06606-1827
Zip
06606-1827
Phone Number
203-374-4966
Fax Number
203-371-7024
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
4641 Main St Ste 1
Bridgeport, CT 06606-1827
City
Bridgeport
State
CT
Zip
06606-1827
Phone Number
203-374-4966
Fax Number
203-371-7024

License Information

License Number (1)
019537
License State (1)
CT
Taxonomy (1)
Specialist · 174400000X
License Number (2)
019537
License State (2)
CT
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alan M Nelson, MD?

The NPI number of Alan M Nelson, MD is 1720006117. It was assigned on July 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Alan M Nelson, MD?

Alan M Nelson, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 019537.

Where does Alan M Nelson, MD practice?

The practice location is 4641 Main St Ste 1, Bridgeport, CT 06606-1827. The office can be reached at 203-374-4966 (phone) or 203-371-7024 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720006117 directly on the NPPES registry website.

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