Active NPI
Bret Douglas Heerema, M.D.
- Occupational Medicine Physician
- Las Vegas, NV
National Provider Identifier
1346239944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 24360
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 24360 | NV | MD | Aerospace Medicine Physician |
| 01059390A | IN | MD | Occupational 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.