Active NPI
Brian Edward Grace, PA
- Surgical Physician Assistant
- Las Vegas, NV
National Provider Identifier
1487746459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA727
- Practice address
- 5188 Blissful Valley Cir
Las Vegas, NV 89149-5262 - Phone
- (702) 373-9929
- Fax
- (800) 886-2862
- NPI assigned
- Sep 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA727 | NV | Primary |
Addresses
Primary practice location
5188 Blissful Valley Cir
Las Vegas, NV 89149-5262
Mailing address
5188 Blissful Valley Cir
Las Vegas, NV 89149-5262
Phone (702) 373-9929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002402144 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atkinson, LTD | Past | Accepting new patients | |
| Integrative Family Medicine | Past | Accepting new patients | |
| Bashir Q Rashid MD PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Medicine Physician
- Las Vegas, NV
- NPI 1801966791
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1023272457
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1598820185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1487746459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5188 BLISSFUL VALLEY CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891495262",
"telephone_number": "702-373-9929",
"fax_number": "800-886-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5188 BLISSFUL VALLEY CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891495262",
"telephone_number": "702-373-9929",
"fax_number": "800-886-2862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "BRIAN",
"middle_name": "EDWARD",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NV",
"license": "PA727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002402144",
"state": "NV"
}
],
"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 Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.