Individual provider Active NPI

Florence Braganza Harris, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1083758981
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7875 Issued in NV
Practice address
4505 S Maryland Pkwy
Box 453020
Las Vegas, NV 89154-9900
Phone
(702) 895-3370
Fax
(702) 895-4316
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7875 NV Primary

Addresses

Primary practice location

4505 S Maryland Pkwy
Box 453020
Las Vegas, NV 89154-9900

Mailing address

4505 S Maryland Pkwy, Box 453020
Las Vegas, NV 89154-3020
Phone (702) 895-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7875NVMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1083758981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 S MARYLAND PKWY, BOX 453020",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891543020",
            "telephone_number": "702-895-3370",
            "fax_number": "702-895-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S MARYLAND PKWY",
            "address_2": "BOX 453020",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891549900",
            "telephone_number": "702-895-3370",
            "fax_number": "702-895-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "FLORENCE",
        "middle_name": "BRAGANZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "7875",
            "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 Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.