Brady Cord Fackrell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3351 Issued in NV

Practice address

4785 S Durango Dr Ste 101
Las Vegas, NV 89147-8167

Phone

(702) 889-8444

NPI assigned

Dec 11, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1366306565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 S DURANGO DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 S DURANGO DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478167",
            "telephone_number": "702-889-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACKRELL",
        "first_name": "BRADY",
        "middle_name": "CORD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Face to Face Medical Management LLC
• Sondi Lyn Facer, DPT
• Faces Inc
• Jamie Anita Facholas, M.A.
• John F Facinoli, D.O.
• Faculty Physicians and Surgeons of Llusm
• Sharon Lee Facundus
• Olufunke Elizabeth Fadahunsi
• Faddis Dentists of North Las Vegas, PC
• Spencer J Faddis, DDS

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.