| Dr Gregg Bradley Nelson, | |
| 101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 423-5312 | |
| Not Available | 
| Full Name | Dr Gregg Bradley Nelson | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 
| Location | 101 Bodin Cir, Travis Afb, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750319620 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 64604 (California) | Primary | 
| Entity Name | Permanente Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Gregg Bradley Nelson, 3418 Honey Ln, Vacaville, CA 95688-9777 Ph: (707) 452-9635 | Dr Gregg Bradley Nelson, 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5312 | 
| A Scott Overfield, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdos/sgomu, Travis Afb, CA 94535 Phone: 707-423-5029 Fax: 707-423-5022 | |
| Brian David Stephens, M.D., M.S. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5029 | |
| Nataliya Alexandrovna Ables, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 | |
| Dr. Philip Thomas Bowers, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174 Fax: 707-423-5144 | |
| Dr. Glenhall Elmer Taylor Iii, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3216 | |
| Dr. Luke Reynolds Michels, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgow, Travis Afb, CA 94535 Phone: 707-423-5174 | |
| Dr. Roy Andrew Schultz-ross, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Dgmc 60 Ipts/sgiw Jimhu 4e, Travis Afb, CA 94535 Phone: 707-423-3330 |