NPIMap

Individual provider Active NPI

Bradley Ryan Duncan, APRN/RNFA

  • Family Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1275923278
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
842879 Issued in NV
Practice address
1698 Cantinia Dr
Sparks, NV 89436-5319
Phone
(214) 227-2457
Fax
(214) 764-0880
NPI assigned
Jan 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 842879 NV
Surgical Physician Assistant 363AS0400X
Family Nurse Practitioner 363LF0000X 842879 NV Primary

Addresses

Primary practice location

1698 Cantinia Dr
Sparks, NV 89436-5319

Mailing address

PO Box 2550
Rowlett, TX 75030-2550
Phone (214) 227-2457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612003016 NV Practitioner - Nurse Practitioner 9234671645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Surgical Assistant Services, LLC 2 clinicians
Atrium Wound Care, PLLC 2 clinicians

Practice addresses (Care Compare)

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4100

1698 Cantinia Dr
Sparks, NV 89436-5319
Phone (775) 420-1788

Hospital & facility affiliations

  • Mission Home Health of Carson City Home health agency, Carson City, NV, CCN 297249
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
842879NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Wound Care, PLLC CurrentSince Oct 8, 2024 Accepting new patients
Atrium Surgical Assistant Services, LLC Registered Nurse First Assistant CurrentSince Mar 31, 2024 Accepting new patients

Locations

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1275923278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2550",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750302550",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 CANTINIA DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894365319",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "BRADLEY",
        "middle_name": "RYAN",
        "credential": "APRN/RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-28",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NV",
            "license": "842879",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "842879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.