Karen Brotarlo Burguillos, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA765 Issued in NV

Practice address

4100 W Flamingo Rd Ste 2100
Las Vegas, NV 89103-3926

Phone

(702) 822-5000

Fax

(702) 822-5001

NPI assigned

Feb 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Karen Grace Brotarlo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1255304523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 BLAIRWOOD CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784830",
            "telephone_number": "702-858-8615",
            "fax_number": "702-822-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W FLAMINGO RD STE 2100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033926",
            "telephone_number": "702-822-5000",
            "fax_number": "702-822-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGUILLOS",
        "first_name": "KAREN",
        "middle_name": "BROTARLO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102202",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2402212",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "BROTARLO",
            "middle_name": "GRACE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Regina Burgos
• Claire Dorothy Grace Burgoyne
• Richard Burgoyne, LSW
• Ruth Burgueno Ceja
• Carolina Necochea Burgueno
• Lena Burk, PA
• Burke Anesthesia Consultants
• Burke Anesthesia Consultants, PC
• Burke Medical Consultants
• Burke Spinal Care, LTD

• Medical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.