NPIMap

Organization Active NPI

Breathe Free Allergy & Sinus Centers of Nevada

  • Otolaryngology Physician
  • Henderson, NV
National Provider Identifier
1184509630
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
BREATHE FREE ALLERGY & SINUS CENTERS OF NEVADA
Practice address
100 N Green Valley Pkwy Ste 345
Henderson, NV 89074-7705
Phone
(805) 210-5491
NPI assigned
Aug 6, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Alicia Brosius
Title
Administrator
Phone
(805) 210-5491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

100 N Green Valley Pkwy Ste 345
Henderson, NV 89074-7705

Mailing address

100 N Green Valley Pkwy Ste 345
Henderson, NV 89074-7705

Other practice location 1

9111 W Russell Rd Ste A
Las Vegas, NV 89148-1245
Phone (805) 210-5491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260102000468 NV Part B Supplier - Clinic/Group Practice 4486140100 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

100 N Green Valley Pkwy
Ste 345
Henderson, NV 89074
Phone (702) 260-0600

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1184509630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY STE 345",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY STE 345",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747705",
            "telephone_number": "805-210-5491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9111 W Russell Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891481245",
            "country_code": "US",
            "telephone_number": "805-210-5491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREATHE FREE ALLERGY & SINUS CENTERS OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "BROSIUS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-210-5491"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.