Individual provider Active NPI

Joan D Brookhyser, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1255301453
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
4227 Issued in NV
Practice address
10300 W Charleston Blvd Ste 13-342
Las Vegas, NV 89135-1037
Phone
(702) 233-9222
Fax
(702) 804-1349
NPI assigned
Jan 23, 2006
Last updated
Apr 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4227 NV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4227 NV Primary
Nephrology Physician 207RN0300X 4227 NV
Hospitalist Physician 208M00000X 4227 NV

Addresses

Primary practice location

10300 W Charleston Blvd Ste 13-342
Las Vegas, NV 89135-1037

Mailing address

PO Box 371353
Las Vegas, NV 89137-1353
Phone (702) 233-9222

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4227NVMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Critical Care Associates Internal Medicine 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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1255301453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371353",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891371353",
            "telephone_number": "702-233-9222",
            "fax_number": "702-804-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 W CHARLESTON BLVD STE 13-342",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351037",
            "telephone_number": "702-233-9222",
            "fax_number": "702-804-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKHYSER",
        "first_name": "JOAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "4227",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "4227",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "4227",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "4227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.