DR. DOUGLAS BROOKS NELSON (MD) – Gastroenterology Physician, NPI 1124123732

DR. DOUGLAS BROOKS NELSON (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 32711 (MN). The NPI Number for DR. DOUGLAS BROOKS NELSON (MD) is 1124123732

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS BROOKS NELSON (MD)
NPI
1124123732
Phone
(612) 871-1145
Address
PO BOX 14909
Enumeration Date
14 September 2006
Last Update Date
12 May 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6128711145
Graduation Year
1987 (39 years ago)
PAC ID
6103992607
Group Practice PAC ID
8123016557
Professional Enrollment ID
I20080908000157
Address ID
MN554132197MI3001XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

500 GASTROENTEROLOGY in MN

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Provider Addresses for DR. DOUGLAS BROOKS NELSON (MD)

  • PO BOX 14909

    MINNEAPOLIS, MN 554140909

    Phone: (612) 871-1145

    Fax: (612) 870-5491

    Type: Mailing

  • Egg & I, 2550, University Avenue West, Saint Paul, Ramsey County, Minnesota, 55114, United States

    SUITE 423 SOUTH

    SAINT PAUL, MN 551141052

    Phone: (612) 871-1145

    Fax: (612) 870-5491

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080908000157IGastroenterologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity7135$0
99213Established patient office or other outpatient visit, 20-29 minutes3029$0
45380Biopsy of large bowel using a flexible endoscope2121$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare1212$0
View full utilization report →

Insurance plans in this area (ZIP 55414)

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Provider's Procedures

DR. DOUGLAS BROOKS NELSON (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMN45385Removal of polyps or growths of large bowel using an endoscope1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123016557View full group profile
NameSpecialtyState
-MN
-MN
G A S T R O E N T E R O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
G A S T R O E N T E R O L O G YIL
G A S T R O E N T E R O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Pediatric Medicine, GastroenterologyMN
Gastroenterology, Internal MedicineMN

Reviews

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Frequently asked questions

How is DR. DOUGLAS BROOKS NELSON (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. DOUGLAS BROOKS NELSON (MD) with NPI 1124123732.
Does CMS list DR. DOUGLAS BROOKS NELSON (MD) as active?
Yes — DR. DOUGLAS BROOKS NELSON (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. DOUGLAS BROOKS NELSON (MD)?
For research purposes, treat DR. DOUGLAS BROOKS NELSON (MD) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. DOUGLAS BROOKS NELSON (MD) list a practice location?
Patients near Minneapolis, Minnesota may find DR. DOUGLAS BROOKS NELSON (MD) in results; validate coverage separately.
Why does DR. DOUGLAS BROOKS NELSON (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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