Active NPI
Brigham Garcia
- Physician Assistant
- North Las Vegas, NV
National Provider Identifier
1205558756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1470
- Practice address
- 1409 E Lake Mead Blvd
North Las Vegas, NV 89030-7120 - Phone
- (702) 649-7711
- NPI assigned
- Sep 12, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1470 | Primary |
Addresses
Primary practice location
1409 E Lake Mead Blvd
North Las Vegas, NV 89030-7120
Mailing address
9225 W Charleston Blvd Apt 2173
Las Vegas, NV 89117-7063
Phone (702) 964-0505
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1205558756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9225 W CHARLESTON BLVD APT 2173",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177063",
"telephone_number": "702-964-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 E LAKE MEAD BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307120",
"telephone_number": "702-649-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "BRIGHAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-12",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": "1470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.