Active NPI
Brant Neider, BC-HIS
- Hearing Instrument Specialist
- Las Vegas, NV
National Provider Identifier
1205504743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAS-2665
- Practice address
- 4560 S Eastern Ave Ste 16
Las Vegas, NV 89119-6182 - Phone
- (702) 650-3074
- Fax
- (702) 650-3127
- NPI assigned
- Aug 31, 2021
- Last updated
- Aug 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HAS-2665 | NV | Primary |
Addresses
Primary practice location
4560 S Eastern Ave Ste 16
Las Vegas, NV 89119-6182
Mailing address
452 Cheney Dr W Ste 130
Twin Falls, ID 83301-4099
Phone (208) 733-3340
Other practice location 1
4700 Meadows Ln Ste 120
Las Vegas, NV 89107-2507
Phone (702) 259-4944
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAS-2665 | NV | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LJZR Enterprises LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1205504743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 CHENEY DR W STE 130",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014099",
"telephone_number": "208-733-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 S EASTERN AVE STE 16",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196182",
"telephone_number": "702-650-3074",
"fax_number": "702-650-3127"
}
],
"practiceLocations": [
{
"address_1": "4700 Meadows Ln Ste 120",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891072507",
"country_code": "US",
"telephone_number": "702-259-4944",
"fax_number": "702-822-4366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEIDER",
"first_name": "BRANT",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NV",
"license": "HAS-2665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Nehemiah Behavioral Health Services
- Debra Nehls
- Nancy Anne Nehls
- David Nehme
- Jacob C Neibaur, PA-C
- Neighborhood Clinic NV LLC
- Neighborhood Dental
- Neighborhood Family Services Home Healthcare (NFS Home Health Care)
- Neighborhood Family Services, LLC (Neighborhood Family Services)
- Neighborhood Health & Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.