Active NPI
Nicholas Robert Brule
- Orthopaedic Surgery Physician
- Las Vegas, NV
National Provider Identifier
1073148201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 29525
- Practice address
- 2231 W Charleston Blvd
Las Vegas, NV 89102-2254 - Phone
- (702) 383-2663
- Fax
- (702) 383-2682
- NPI assigned
- Mar 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 29525 | NV | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2231 W Charleston Blvd
Las Vegas, NV 89102-2254
Mailing address
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2799
Other practice location 1
15 Michigan St NE
Grand Rapids, MI 49503-2508
Phone (906) 221-1088
Other practice location 2
4231 N Rancho Dr
Las Vegas, NV 89130-3409
Phone (702) 383-2663
Other practice location 3
11860 Southern Highlands Pkwy Ste 100
Las Vegas, NV 89141-3304
Phone (702) 383-2663
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brulenic@msu.edu | ||
| Direct Messaging Address | brulenic@msu.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260619001437 | NV | Practitioner - Orthopedic Surgery | 2668874140 |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Michigan State University College of Human Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29525 | NV | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1073148201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022329",
"telephone_number": "702-383-2799",
"fax_number": "702-383-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022254",
"telephone_number": "702-383-2663",
"fax_number": "702-383-2682"
}
],
"practiceLocations": [
{
"address_1": "15 Michigan St NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032508",
"country_code": "US",
"telephone_number": "906-221-1088",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4231 N Rancho Dr",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891303409",
"country_code": "US",
"telephone_number": "702-383-2663",
"fax_number": "702-383-2682",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11860 Southern Highlands Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891413304",
"country_code": "US",
"telephone_number": "702-383-2663",
"fax_number": "702-383-2682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRULE",
"first_name": "NICHOLAS",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-09",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NV",
"license": "29525",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brulenic@msu.edu",
"affiliation": "N",
"address_1": "601 Michigan St NE Apt 402",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495033597",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brulenic@msu.edu",
"affiliation": "N",
"address_1": "15 Michigan St NE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495032508",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.