Individual provider Active NPI

David Rulon Budge, PA-C

  • Medical Physician Assistant
  • Henderson, NV
National Provider Identifier
1467775700
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1204 Issued in NV
Practice address
10652 S Eastern Ave
Suite a
Henderson, NV 89052-4952
Phone
(702) 476-2800
Fax
(702) 476-2040
NPI assigned
Mar 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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 PA1204 NV Primary

Addresses

Primary practice location

10652 S Eastern Ave
Suite a
Henderson, NV 89052-4952

Mailing address

PO Box 743752
Atlanta, GA 30374-3752
Phone (972) 745-7500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150202000033 NV Practitioner - Physician Assistant 7517281108 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
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

2202 W Craig Rd
North Las Vegas, NV 89032-3018
Phone (702) 826-3200

3020 W Ann Rd
North Las Vegas, NV 89031-7259
Phone (702) 701-9501

5891 E Charleston Blvd
Suite 150
Las Vegas, NV 89142-1053
Phone (725) 777-3119

8300 W Cheyenne Ave
Suite 106
Las Vegas, NV 89129-2177
Phone (702) 656-0911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1204NVMDMedical Physician Assistant

Organizations & group practices 1

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": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1467775700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743752",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743752",
            "telephone_number": "972-745-7500",
            "fax_number": "972-956-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10652 S EASTERN AVE",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524952",
            "telephone_number": "702-476-2800",
            "fax_number": "702-476-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDGE",
        "first_name": "DAVID",
        "middle_name": "RULON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.