Active NPI
John Patrick Brosious, M.D.
- Plastic Surgery Physician
- Las Vegas, NV
National Provider Identifier
1386842938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 16256
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16256 | Other | NV | LICENSE |
| MD447430 | Other | PA | LICENSE NUMBER |
Other names 1
- John Patrick Brosious
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
Enrollment records 1
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
Practice addresses (Care Compare)
341 N Buffalo Dr
Suite B
Las Vegas, NV 89145-0376
Phone (702) 727-8500
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16256 | NV | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vegas Plastic Surgery Institute- Operating PLLC | Plastic Surgery | Current | 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
- jbrosious13217@direct.umcsn.com
- 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.
-
- Plastic Surgery Physician
- Las Vegas, NV
- NPI 1659036325
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1003281452
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831143817
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.