Organization Active NPI

Reynolds Plastic Surgery

  • Plastic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1003188145
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
14181 Issued in NV
Legal business name
REYNOLDS PLASTIC SURGERY
Practice address
7175 N Durango Dr Ste 230
Las Vegas, NV 89149-4484
Phone
(702) 410-9800
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brandon Quayle Reynolds, M.D.NPI 1962616383
Title
President
Phone
(717) 557-6750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 14181 NV Primary

Addresses

Primary practice location

7175 N Durango Dr Ste 230
Las Vegas, NV 89149-4484

Mailing address

7175 N Durango Dr Ste 230
Las Vegas, NV 89149-4484
Phone (702) 410-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120618000478 NV Part B Supplier - Clinic/Group Practice 7810151198 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1003188145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7175 N DURANGO DR STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494484",
            "telephone_number": "702-410-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 N DURANGO DR STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494484",
            "telephone_number": "702-410-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "QUAYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-557-6750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "14181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.