Individual provider Active NPI

Peter J Bregman, DPM

  • Podiatrist
  • Las Vegas, NV
National Provider Identifier
1235165671
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1101 Issued in NV
Practice address
7150 W Sunset Rd Ste 110
Las Vegas, NV 89113-1982
Phone
(027) 013-1867
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1101 NV Primary

Addresses

Primary practice location

7150 W Sunset Rd Ste 110
Las Vegas, NV 89113-1982

Mailing address

7150 W Sunset Rd Ste 110
Las Vegas, NV 89113-1982
Phone (702) 703-2526

Other identifiers 1

IdentifierTypeStateIssuer
1235165671MedicaidNV

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110419000757 NV Practitioner - Podiatry 5597773390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7150 W Sunset Rd
Suite 110
Las Vegas, NV 89113-1982
Phone (702) 703-2526

Hospital & facility affiliations

  • Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions20
Removal of nail tissue72
Removal or shaving of skin growth26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2042MAMDMental Health Counselor
0753AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bregman Advanced Foot and Ankle Care Current Accepting new patients
HCA Health Services of New Hampshire Inc Past Accepting new patients
Northeast Foot & Ankle Specialists, P.C. Podiatrist PastSince Apr 1, 1998 Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Winchester Hospital Past Accepting new patients
The Lowell General Hospital Past Accepting new patients
Hallmark Health System Inc Past Accepting new patients

Locations

7150 W Sunset Rd
Ste 110
Las Vegas, NV 89113
Phone (702) 703-2526

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1235165671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 W SUNSET RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131982",
            "telephone_number": "702-703-2526",
            "fax_number": "702-703-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W SUNSET RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131982",
            "telephone_number": "027-013-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREGMAN",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235165671",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.