Individual provider Active NPI

Bret Douglas Heerema, M.D.

  • Occupational Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1346239944
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
24360 Issued in NV
Practice address
9800 W Skye Canyon Park Dr Ste 170
Las Vegas, NV 89166-6631
Phone
(702) 425-5119
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 24360 NV
Aerospace Medicine Physician 2083A0100X 01059390A IN
Occupational Medicine Physician 2083X0100X 01059390A IN
Occupational Medicine Physician 2083X0100X 24360 NV Primary

Addresses

Primary practice location

9800 W Skye Canyon Park Dr Ste 170
Las Vegas, NV 89166-6631

Mailing address

9800 W Skye Canyon Park Dr Ste 170
Las Vegas, NV 89166-6631
Phone (702) 425-5119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 20, 2024 through Sep 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24360NVMDAerospace Medicine Physician
01059390AINMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1346239944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 W SKYE CANYON PARK DR STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666631",
            "telephone_number": "702-425-5119",
            "fax_number": "702-213-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 W SKYE CANYON PARK DR STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666631",
            "telephone_number": "702-425-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEREMA",
        "first_name": "BRET",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NV",
            "license": "24360",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IN",
            "license": "01059390A",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "01059390A",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NV",
            "license": "24360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.