Active NPI
Barry Gould, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 13655
- Practice address
- 4750 W Oakey Blvd Ste 3a
Las Vegas, NV 89102 - Phone
- (702) 877-5199
- NPI assigned
- Jun 15, 2006
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 13655 | NV | Primary |
Addresses
Primary practice location
4750 W Oakey Blvd Ste 3a
Las Vegas, NV 89102
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 877-5199
Other practice location 1
2300 W Charleston Blvd
Las Vegas, NV 89102-2149
Phone (702) 877-5306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265476691 | Medicaid | NV |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Kootenai Health, Inc. | Past | Accepting new patients |
Locations
2845 Siena Heights Dr
Henderson, NV 89052
Phone (702) 617-1227
4750 W Oakey Blvd
Ste 3A
Las Vegas, NV 89102
Phone (702) 669-5944
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1265476691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-877-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 W OAKEY BLVD STE 3A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-877-5199"
}
],
"practiceLocations": [
{
"address_1": "2300 W Charleston Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891022149",
"country_code": "US",
"telephone_number": "702-877-5306",
"fax_number": "702-750-3896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOULD",
"first_name": "BARRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NV",
"license": "13655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265476691",
"state": "NV"
}
],
"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 Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.