| 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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 |