JOHN THOMAS NELSON JR. M.D.
NPI 1356753792
Radiology - Diagnostic Radiology in Birmingham, AL
NPI Status: Active since May 20, 2014
Contact Information
840 MONTCLAIR RD
SUITE 317
BIRMINGHAM, AL
ZIP 35213
Phone: (205) 599-4822
- Individual
- Male
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- PECOS Enrolled
About JOHN NELSON
This page provides the complete NPI Profile along with additional information for John Nelson, a provider established in Birmingham, Alabama with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1356753792 assigned on May 2014. The practitioner's primary taxonomy code is 2085R0202X with license number 34346 (AL). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1356753792
- Provider Name
- JOHN THOMAS NELSON JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213
- Location Phone
- (205) 599-4822
- Mailing Address
- 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-20-2014
- Last Update Date
- 10-21-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 34346
- License State
- AL
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Saver Silver EPO - EPO
- Blue Standardized Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
John Nelson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Complete ultrasound scan behind abdominal cavity
Ct scan head or brain without contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of blood vessels of chest with contrast
Ct scan of chest with contrast
Ct scan of chest without contrast
Ct scan of face without contrast
Ct scan of lower spine without contrast
Ct scan of upper spine without contrast
Dxa bone density measurement of hip, pelvis, spine
Limited ultrasound scan of abdomen
Mri scan of brain before and after contrast
Mri scan of brain without contrast
Mri scan of lower spinal canal without contrast
Screening mammography
X-ray of abdomen, 1 view
X-ray of chest, 1 view
X-ray of chest, 2 views
X-ray of hand, minimum of 3 views
X-ray of hip, 2-3 views
X-ray of knee, 4 or more views
X-ray of lower and sacral spine, minimum of 4 views
X-ray of shoulder, minimum of 2 views
X-ray of wrist, minimum of 3 views
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
This service was performed 24 times for 24 patientsA CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
This service was performed 160 times for 156 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 53 times for 52 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 66 times for 60 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 23 times for 23 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 24 times for 23 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 37 times for 36 patientsA CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
This service was performed 14 times for 14 patientsA CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.
This service was performed 12 times for 12 patientsA CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
This service was performed 43 times for 43 patientsA DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
This service was performed 23 times for 23 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 14 times for 14 patientsAn MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
This service was performed 17 times for 17 patientsAn MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
This service was performed 21 times for 20 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 20 times for 20 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 35 times for 35 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 35 times for 29 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 403 times for 306 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 86 times for 82 patientsAn X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
This service was performed 13 times for 11 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 19 times for 18 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 30 times for 25 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
This service was performed 14 times for 14 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 31 times for 29 patientsAn X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
This service was performed 12 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 35213 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.9
- Minimum New Patient Price $52.65
- Maximum New Patient Price $161.63
- Average New Patient Copayment $20.47
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.4
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.08
- Minimum Established Patient Price $16.56
- Maximum Established Patient Price $131.65
- Average Established Patient Copayment $16.52
- Minimum Established Patient Copayment $4.14
- Maximum Established Patient Copayment $32.91
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 5 | 6 | 7 | 5 | 3 | 7 | 9 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 10 | 6 | 14 | 5 | 6 | 7 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 0 + 6 + 1 + 4 + 5 + 6 + 7 + 1 + 8 + 24 = 68 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 68 = 2 | 2 |
The NPI number 1356753792 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1326041757 | DR. SCOTT T KELLEY M.D. Individual | Internal Medicine | 840 MONTCLAIR RD STE 500 BIRMINGHAM, AL 35213 (205) 595-5504 |
1871596205 | DR. DALE E. TRAMMELL JR. M.D. Individual | Internal Medicine | 840 MONTCLAIR RD STE 500 BIRMINGHAM, AL 35213 (205) 595-5504 |
1053375196 | BHC - MONTCLAIR INFECTIOUS DISEASES Organization | Specialist | 840 MONTCLAIR RD SUITE 606 BIRMINGHAM, AL 35213 (205) 592-5917 |
1831154327 | OPHTHALMOLOGY ASSOC P.C. Organization | Legal Medicine | 840 MONTCLAIR RD SUITE 722 BIRMINGHAM, AL 35213 (205) 591-2311 |
1780632695 | DR. JAMES O. POWELL M.D. Individual | Legal Medicine | 840 MONTCLAIR RD SUITE 722 BIRMINGHAM, AL 35213 (205) 591-2311 |
1063424059 | HIGHTOWER FAMILY MEDICINE, PC Organization | Family Medicine | 840 MONTCLAIR RD SUITE 707 BIRMINGHAM, AL 35213 (205) 599-2345 |
1073618963 | HEATHER LOUISE PRECISE CRNP Individual | Nurse Practitioner (Pediatrics) | 840 MONTCLAIR RD SUITE 617 BIRMINGHAM, AL 35213 (205) 591-2393 |
1760531511 | ALAN MYRON SIEGAL M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213 (205) 592-1095 |
1497882641 | DR. SPENCER DALE MADDOX DMD Individual | Dentist | 840 MONTCLAIR RD SUITE 401 BIRMINGHAM, AL 35213 (205) 591-6220 |
1427239557 | CHRISTINA J TATUM M.D. Individual | Student in an Organized Health Care Education/Training Program | 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213 (205) 592-1095 |
1730338831 | JOHN SASSER OPTICIANS Organization | Eyewear Supplier | 840 MONTCLAIR RD SUITE 408 BIRMINGHAM, AL 35213 (205) 592-5130 |
1871747063 | JULIE RACHELLE HOLDEN M.D. Individual | Student in an Organized Health Care Education/Training Program | 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213 (205) 592-5135 |
1346470432 | KENNETH R. SMITH, P.C. Organization | Ophthalmology | 840 MONTCLAIR RD SUITE 722 BIRMINGHAM, AL 35213 (205) 591-2311 |
1326292517 | KIM-NGAN P FELLMAN MD Individual | Internal Medicine | 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213 (205) 592-5135 |
1639350051 | MICHAEL L. SHELTON M.D. Individual | Anesthesiology | 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213 (205) 592-1095 |
1134383995 | DANIEL STEPHEN ATHERTON M.D. Individual | Student in an Organized Health Care Education/Training Program | 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213 (205) 592-5135 |
1780090779 | ZAID AL MODANAT M.D. Individual | Student in an Organized Health Care Education/Training Program | 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213 (205) 599-4822 |
1497134118 | SAIKRISHNA GADDE M.D. Individual | Student in an Organized Health Care Education/Training Program | 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213 (205) 599-4822 |
1851770424 | LACEY MIMS SWENSON M.D. Individual | Student in an Organized Health Care Education/Training Program | 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213 (205) 599-4822 |
1740571215 | TANDRA R. GORDON Individual | Internal Medicine | 840 MONTCLAIR RD SUITE 317 BIRMINGHAM, AL 35213 (205) 592-5135 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356753792, enumerated in the NPI registry as an "individual" on May 20, 2014
The provider is located at 840 Montclair Rd Suite 317 Birmingham, Al 35213 and the phone number is (205) 599-4822
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.9 with an average copayment of $20.47 for new patient appointments. Established patients should expect a typical charge of $66.08 and an average copayment of 16.52. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Complete ultrasound scan behind abdominal cavity, Ct scan head or brain without contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of blood vessels of chest with contrast, Ct scan of chest with contrast, Ct scan of chest without contrast, Ct scan of face without contrast, Ct scan of lower spine without contrast, Ct scan of upper spine without contrast, Dxa bone density measurement of hip, pelvis, spine, Limited ultrasound scan of abdomen, Mri scan of brain before and after contrast, Mri scan of brain without contrast, Mri scan of lower spinal canal without contrast, Screening mammography, X-ray of abdomen, 1 view, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of hand, minimum of 3 views, X-ray of hip, 2-3 views, X-ray of knee, 4 or more views, X-ray of lower and sacral spine, minimum of 4 views, X-ray of shoulder, minimum of 2 views and X-ray of wrist, minimum of 3 views.
This NPI record was last updated on May 20, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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