Organization Active NPI

Brian Jonathan Lipman MD PC

  • Infectious Disease Physician
  • Henderson, NV
National Provider Identifier
1255533733
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
BRIAN JONATHAN LIPMAN MD PC
Practice address
10001 S Eastern Ave Ste 307
Henderson, NV 89052
Phone
(702) 909-7170
Fax
(702) 909-7234
NPI assigned
Jun 5, 2007
Organization subpart
Yes
Parent organization
JONATHAN B LIPMAN MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Taren Falk
Title
Director
Phone
(702) 909-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X NV Primary

Addresses

Primary practice location

10001 S Eastern Ave Ste 307
Henderson, NV 89052

Mailing address

PO Box 845712
Los Angeles, CA 90084-5712
Phone (702) 909-7170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070730000875 NV Part B Supplier - Clinic/Group Practice 6709987027 Receives reassigned benefits from 3 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory
Part of
Brian Jonathan Lipman MD PC

Locations

10001 S Eastern Ave
Ste 401
Henderson, NV 89052
Phone (702) 456-3668

10001 S Eastern Ave
Henderson, NV 89052
Phone (702) 260-7707

3100 W Charleston Blvd
Ste 204
Las Vegas, NV 89102
Phone (702) 380-4242

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1255533733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845712",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845712",
            "telephone_number": "702-909-7170",
            "fax_number": "702-909-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 307",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-909-7170",
            "fax_number": "702-909-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN JONATHAN LIPMAN MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JONATHAN B LIPMAN MD PC",
        "enumeration_date": "2007-06-05",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "TAREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-909-7170"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.