Individual provider Active NPI

Eric Jae Brimhall, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Las Vegas, NV
National Provider Identifier
1134445109
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME150056 Issued in FL
Practice address
7220 S Cimarron Rd Ste 270
Las Vegas, NV 89113-2160
Phone
(702) 912-4100
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 16193 NV
Physical Medicine & Rehabilitation Physician 208100000X 88628611205 UT
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME150056 FL Primary

Addresses

Primary practice location

7220 S Cimarron Rd Ste 270
Las Vegas, NV 89113-2160

Mailing address

7220 S Cimarron Rd Ste 270
Las Vegas, NV 89113-2160
Phone (702) 912-4100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111000357 NV Practitioner - Physical Medicine and Rehabilitation 5597988105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wisconsin College of Physicians and Surgeons, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen a Gephardt MD LTDGroup PAC ID 7315373982, 7 clinicians

Practice addresses (Care Compare)

7220 S Cimarron Rd
Suite 270
Las Vegas, NV 89113-2160
Phone (702) 912-4100

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as group
Quality
85.22
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16193NVMDPhysical Medicine & Rehabilitation Physician
88628611205UTMDPhysical Medicine & Rehabilitation Physician
ME150056FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a Gephardt MD LTD CurrentSince Apr 1, 2022 Accepting new patients
Stephen a Gephardt MD LTD Physical Medicine & Rehabilitation CurrentSince Apr 1, 2022 Accepting new patients
Daniel L. Burkhead, MD LTD CurrentSince Jan 4, 2016 Accepting new patients
Daniel L. Burkhead, M.D. LTD CurrentSince Jan 4, 2016 Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunset Pain Surgery Center PastSince Oct 1, 2019 Accepting new patients

Locations

825 N Gibson Rd
Ste 420
Henderson, NV 89011
Phone (702) 912-4100

7220 S Cimarron Rd
Ste 270
Las Vegas, NV 89113
Phone (702) 623-5564

9920 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129
Phone (702) 316-2281

Interoperability endpoints

  • Direct secure messaging: eric.brimhall@579.chartlogic.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1134445109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 S CIMARRON RD STE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132160",
            "telephone_number": "702-912-4100",
            "fax_number": "702-912-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 S CIMARRON RD STE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132160",
            "telephone_number": "702-912-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMHALL",
        "first_name": "ERIC",
        "middle_name": "JAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "16193",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "88628611205",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME150056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.