Robert Brauner
Individual provider Active NPI Psychiatric Pharmacist · Las Vegas, NV
NPI 1104945971 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104945971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric Pharmacist 1835P1300X
- License
- 15486 (NV)
- Practice address
- 2121 N. Las Vegas Blvd
Las Vegas, NV 89030 - Phone
- (702) 486-5750
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15486 | NV | MD | Psychiatric Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 15486 | NV | Yes |
Addresses
Primary practice location
2121 N. Las Vegas Blvd
Las Vegas, NV 89030
Mailing address
6161 W Charleston Blvd
Las Vegas, NV 89146-1126
NPI Registry JSON
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104945971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6161 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 N. LAS VEGAS BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89030",
"telephone_number": "702-486-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUNER",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "NV",
"license": "15486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
- Kathryn Michelle Braun
- Natalie Mae Braun
- Roger T. Braun
- Sandra Braun
- Yeonjae J Braun
- Irina Braunger
- Braunstein Medical Group LLC
- Braunstein PLLC
- Ashley Rose Braunstein
- Michael Craig Braunstein
All providers in Las Vegas, NV · Psychiatric Pharmacist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.