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

Michael K Neilson, DO

Individual provider Family Medicine Physician · NPI 1306378823

Michael K Neilson, DO is a Sports Medicine in Provo, Utah. Qualified in 2017, 9 years ago. Practices with Direct Orthopedic Care LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Licensed in
UT
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

475 W 940 N
Provo, UT 84604-3301
Phone: (801) 357-7871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 11680858-1204 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11680858-1204 (UT)

Record details

NPI number1306378823
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Direct Orthopedic Care Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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