Organization Active NPI

Brossfield Medical Group PLLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1295686301
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BROSSFIELD MEDICAL GROUP PLLC
Practice address
11656 Bearpaw Meadow Ave
Las Vegas, NV 89138-6287
Phone
(760) 567-8208
NPI assigned
Feb 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Dr. Jeralyn Ellice Brossfield, MD
Title
President
Phone
(760) 567-8208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

11656 Bearpaw Meadow Ave
Las Vegas, NV 89138-6287

Mailing address

11656 Bearpaw Meadow Ave
Las Vegas, NV 89138-6287
Phone (760) 567-8208

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1295686301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11656 BEARPAW MEADOW AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386287",
            "telephone_number": "760-567-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11656 BEARPAW MEADOW AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386287",
            "telephone_number": "760-567-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROSSFIELD MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BROSSFIELD",
        "authorized_official_first_name": "JERALYN",
        "authorized_official_middle_name": "ELLICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-567-8208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 5, 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.