Brian A Wyn, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

13812 Issued in NV

Practice address

3153 E Warm Springs
#300
Las Vegas, NV 89120

Phone

(702) 487-6510

Fax

(702) 405-7960

NPI assigned

Aug 28, 2007

Last updated

Aug 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Anesthesiology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bwyn12734@direct.umcsn.com

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

• Red Rock Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1235660002
  Medicare reassignment Care Compare group NPD
• Amin, Dunckelmeyer and Luu PLLC

  dba Battle Born Anesthesia

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1093410045
  Medicare reassignment NPD
• Zen Anesthesia, LLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1942589122
  Medicare reassignment NPD
• Optum Medical Group II Rhodes P C

  dba Southwest Medical

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1790329407
  Medicare reassignment
• Brian a. Wyn MD PC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1013383033
  Authorized official Same address or phone
• Brian Wyn MD PC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1174862387
  NPD
• John T Goodsell DO PC Gregory Linderer MD LTD

  dba Anesthesia Associates

  • Anesthesiology Physician
  • Henderson, NV
  • NPI 1427000413
  NPD (past)

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

• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1104870187
  Care Compare affiliation

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1467646950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 E WARM SPRINGS",
            "address_2": "#300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 E WARM SPRINGS",
            "address_2": "#300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-487-6510",
            "fax_number": "702-405-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYN",
        "first_name": "BRIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "13812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467646950",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FG039Z",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Paul Wylubski, PT/DPT
• Deanna Wyman
• Joan Mildred Wyman, COTA/L
• Michael M Wyman, PHARM.D.
• Jennifer Wymer
• Jennifer Lee Wynant
• Ryan Curtis Wynder, M.S., MFT
• Ashley Wynkoop
• Deidre Annisha Sue Wynn
• Jennifer Sarah Wynn, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.

Verify at the official NPI Registry.