Organization Active NPI

Marguerite Brathwaite MD PLLC

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1346814787
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MARGUERITE BRATHWAITE MD PLLC
Practice address
7650 W Sahara Ave
Las Vegas, NV 89117-2750
Phone
(702) 413-7740
Fax
(702) 413-7975
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Maria Elwell
Title
Credentialer
Phone
(702) 556-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

7650 W Sahara Ave
Las Vegas, NV 89117-2750

Mailing address

9811 W Charleston Blvd Ste 2-421
Las Vegas, NV 89117-7528
Phone (702) 413-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210702001699 NV Part B Supplier - Clinic/Group Practice 2365843935 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

9811 W Charleston Blvd
Ste 2421
Las Vegas, NV 89117
Phone (702) 810-9797

851 S Rampart Blvd
Ste 165
Las Vegas, NV 89145
Phone (702) 413-7740

851 S Rampart Blvd
Ste 130
Las Vegas, NV 89145
Phone (702) 823-1333

851 S Rampart Blvd
Ste 160
Las Vegas, NV 89145

9811 W Charleston Blvd
#2421
Las Vegas, NV 89117

Practitioners & affiliated clinicians

Practitioners 3

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": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1346814787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD STE 2-421",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-413-7740",
            "fax_number": "702-413-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172750",
            "telephone_number": "702-413-7740",
            "fax_number": "702-413-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGUERITE BRATHWAITE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "ELWELL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "702-556-6175"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "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 Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.