Brett Allen, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Las Vegas, NV
NPI 1487357679 · NPPES record last updated Mar 16, 2024
Key facts
- NPI
- 1487357679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1701 W Charleston Blvd
Las Vegas, NV 89102-2325 - Phone
- (702) 671-2273
- NPI assigned
- Mar 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230814003928 | PA | Order and Referring Only - General Surgery |
7315309911 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1701 W Charleston Blvd
Las Vegas, NV 89102-2325
Mailing address
500 University Dr
Hershey, PA 17033-2360
Other practice location 1
500 University Dr
Hershey, PA 17033-2360
Phone (775) 507-1052
Other practice location 2
5469 Nettle Way
Las Vegas, NV 89135-4031
Phone (775) 507-1052
Other providers in Las Vegas, NV
- Aris Allen
- Aryeiona Allen
- Auzhane Allen
- Brandy Labritt Allen
- Breanna Allen
- Brittany Allen
- Camilo Allen
- Carl Allen
- Carline A. Allen
- Carolyn Allen
All providers in Las Vegas, NV · Student in an Organized Health Care Education/Training Program in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.