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

David B Nielsen, MD

Individual provider Pediatric Radiology Physician · NPI 1649383027

David B Nielsen, MD is a Diagnostic Radiology in Provo, Utah. Graduated from Creighton University School of Medicine in 1997, 29 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas, Missouri and Utah.

Years since qualifying
29
Trained at
Creighton University School of Medicine
Licensed in
KS, MO, UT
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1055 N 300 W Ste 104
Provo, UT 84604-3344
Phone: (801) 225-6246
Fax: (801) 225-1525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1034 N 500 W, Provo, UT 84604-3380 — (801) 357-7056

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 11765834-1205 (UT)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 04-33446 (KS)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 11765834-1205 (UT)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 2008036902 (MO)

Record details

NPI number1649383027
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing addressPo Box 837, Corvallis, OR 97339-0837

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare