Individual provider Active NPI

Brian Dwayne Lefler, PA-C

  • Medical Physician Assistant
  • Mesquite, NV
National Provider Identifier
1407159130
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0205 Issued in NV
Practice address
210 N Sandhill Blvd
Mesquite, NV 89027-4789
Phone
(702) 849-0558
Fax
(702) 346-2147
NPI assigned
Dec 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA0205 NV Primary

Addresses

Primary practice location

210 N Sandhill Blvd
Mesquite, NV 89027-4789

Mailing address

210 N Sandhill Blvd
Mesquite, NV 89027-4789
Phone (702) 849-0558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110601000394 NV Practitioner - Physician Assistant 0446437321
I20210818000952 AZ Practitioner - Physician Assistant 0446437321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canyonlands Community Health CareGroup PAC ID 4082509591, 28 clinicians

Practice addresses (Care Compare)

210 N Sandhill Blvd
Mesquite, NV 89027-4789
Phone (702) 849-0558

Hospital & facility affiliations

  • Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8513AZMDChiropractor
PA0205NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Canyonlands Community Health Care CurrentSince Jun 16, 2021 Accepting new patients
Canyonlands Community Health Care CurrentSince Jun 16, 2021 Accepting new patients
Canyonlands Community Health Care Past Accepting new patients
Advanced Wound Care Consultants LLC Past Accepting new patients

Locations

3272 E Rio Virgin Rd
Littlefield, AZ 86432
Phone (928) 347-5971

1615 S 1st Ave
Safford, AZ 85546
Phone (928) 348-1701

210 N Sandhill Blvd
Mesquite, NV 89027
Phone (702) 345-5000

Interoperability endpoints

  • Direct secure messaging: brian.lefler.p1@direct.canyonlands.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1407159130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N SANDHILL BLVD",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274789",
            "telephone_number": "702-849-0558",
            "fax_number": "702-346-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N SANDHILL BLVD",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274789",
            "telephone_number": "702-849-0558",
            "fax_number": "702-346-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFLER",
        "first_name": "BRIAN",
        "middle_name": "DWAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2023-09-12",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA0205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.