Bretton Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BRETTON DIALYSIS LLC

Practice address

2300 Corporate Cir Ste 100
Henderson, NV 89074-7725

Phone

(702) 487-5576

Fax

(702) 834-3059

NPI assigned

Nov 8, 2017

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The District Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Listed as

DaVita The District Dialysis NVCCN 292555

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 21, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

25

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockfrd, IL
  • NPI 1154997591

  Member Of

  NPD member

Locations

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Taurino Avelar, MD

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1114288867

  Dialysis facility

  Care Compare affiliation Name & address match
• Parag Parekh, D.O.

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1013395979

  Dialysis facility

  Care Compare affiliation Name & address match
• Rizwan Arif Qazi, M.D.

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1407073273

  Dialysis facility

  Care Compare affiliation Name & address match
• Kamron Latif Saleem, MD

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1295910099

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1033622337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6814",
            "fax_number": "800-293-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CORPORATE CIR STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747725",
            "telephone_number": "702-487-5576",
            "fax_number": "702-834-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETTON DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250000179",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The District Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher C Breeden, MD
• Breiland and Wheatley Health Services PLLC
• Patricia Brennan
• Courtney Brensinger, CST
• Colleen Sue Breslin, FASA
• Hisani Almaz Brewer
• Natalie Brewer
• Nicole Marie Brewer, CPC, LCADC
• Amy Brewster, PT
• Kaylee Brewster

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.