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

Robert J Nielsen, MD

Individual provider Pediatrics Physician · NPI 1932307204

Robert J Nielsen, MD is a Pediatric Medicine in Ogden, Utah. Graduated from Pennsylvania State University College of Medicine in 2007, 19 years ago. Licensed in Utah.

Years since qualifying
19
Trained at
Pennsylvania State University College of Medicine
Licensed in
UT
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5405 S 500 E Ste 205
Ogden, UT 84405-7420
Phone: (801) 479-0174
Fax: (801) 479-0312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 76540331205 (UT)

Record details

NPI number1932307204
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2007
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing addressPo Box 5546, Suite 5, Denver, CO 80217-5546

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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