Organization Active NPI

Brockwell Healthcare LLC

  • Vascular & Interventional Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1275481822
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
BROCKWELL HEALTHCARE LLC
Practice address
8879 W Flamingo Rd Ste 201
Las Vegas, NV 89147-8733
Phone
(702) 673-6505
NPI assigned
Mar 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Dr. Hasnain Haider Shah, MD
Title
Owner
Phone
(734) 316-2268

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

8879 W Flamingo Rd Ste 201
Las Vegas, NV 89147-8733

Mailing address

8879 W Flamingo Rd Ste 201
Las Vegas, NV 89147-8733
Phone (702) 673-6505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1275481822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8879 W FLAMINGO RD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478733",
            "telephone_number": "702-673-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8879 W FLAMINGO RD STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478733",
            "telephone_number": "702-673-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKWELL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HASNAIN",
        "authorized_official_middle_name": "HAIDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-316-2268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "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 Mar 19, 2026; 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.