Individual provider Active NPI

John Patrick Brosious, M.D.

  • Plastic Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1386842938
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
16256 Issued in NV
Practice address
341 N Buffalo Dr Ste B
Las Vegas, NV 89145-0376
Phone
(702) 727-8500
Fax
(702) 444-2461
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD447430 PA
Plastic Surgery Physician 208200000X 16256 NV Primary

Addresses

Primary practice location

341 N Buffalo Dr Ste B
Las Vegas, NV 89145-0376

Mailing address

341 N Buffalo Dr Ste B
Las Vegas, NV 89145-0376
Phone (702) 727-8500

Other identifiers 2

IdentifierTypeStateIssuer
16256OtherNVLICENSE
MD447430OtherPALICENSE NUMBER

Other names 1

  • John Patrick Brosious Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229000898 NV Practitioner - Plastic and Reconstructive Surgery 1850532334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Indiana University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vegas Plastic Surgery Institute - Operating PLLCGroup PAC ID 5799170304, 2 clinicians

Practice addresses (Care Compare)

341 N Buffalo Dr
Suite B
Las Vegas, NV 89145-0376
Phone (702) 727-8500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16256NVMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vegas Plastic Surgery Institute- Operating PLLC Plastic Surgery CurrentSince Apr 1, 2022 Accepting new patients
Henderson Hospital Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients

Locations

341 N Buffalo Dr
Ste B
Las Vegas, NV 89145
Phone (702) 727-8500

Interoperability endpoints

  • Direct secure messaging: jbrosious13217@direct.umcsn.com
  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1386842938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 N BUFFALO DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450376",
            "telephone_number": "702-727-8500",
            "fax_number": "702-444-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N BUFFALO DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450376",
            "telephone_number": "702-727-8500",
            "fax_number": "702-444-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSIOUS",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD447430",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "16256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "16256",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD447430",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "BROSIOUS",
            "middle_name": "PATRICK",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.