Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryan L Nelson, PA-C

Individual provider Physician Assistant · NPI 1164605226

Bryan L Nelson, PA-C is a Physician Assistant in Pleasant Grove, Utah. Qualified in 2007, 19 years ago. Practices with Premier Family Medical, a 84-clinician group and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
19
Licensed in
CA, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

830 N 2000 W
Pleasant Grove, UT 84062-4047
Phone: (801) 756-3511
Fax: (801) 756-1705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA19440 (CA)

Record details

NPI number1164605226
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 12, 2007
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Pleasant Grove