Active NPI
Patrick Obrien, R.EEG. T,,CMA, B.S
- Electroneurodiagnostic Specialist/Technologist
- Las Vegas, NV
National Provider Identifier
1487032009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 9811 W Charleston Blvd # 2-641
Las Vegas, NV 89117-7528 - Phone
- (855) 864-4322
- NPI assigned
- May 14, 2015
- 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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary | ||
| EEG Technician | 2472E0500X |
Addresses
Primary practice location
9811 W Charleston Blvd # 2-641
Las Vegas, NV 89117-7528
Mailing address
9811 W Charleston Blvd # 2-641
Las Vegas, NV 89117-7528
Phone (855) 864-4322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912171760 | Other | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Certified Medical Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1487032009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 W CHARLESTON BLVD # 2-641",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177528",
"telephone_number": "855-864-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9811 W CHARLESTON BLVD # 2-641",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177528",
"telephone_number": "855-864-4322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "PATRICK",
"credential": "R.EEG. T,,CMA, B.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-14",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
},
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1912171760",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.