Brian Duong Douglas, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2622 Issued in NV

Practice address

605 Sierra Rose Dr Ste 4
Reno, NV 89511-2093

Phone

(775) 451-1701

Fax

(775) 451-1713

NPI assigned

Apr 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

85.11 of 100Reported as group

Quality

72.21

Improvement activities

40

Cost

83.57

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Berman & Mack LTD.

  • Pain Medicine (Anesthesiology) Physician
  • Reno, NV
  • NPI 1942310990
  Medicare reassignment

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1578204657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SIERRA ROSE DR STE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112093",
            "telephone_number": "775-689-5410",
            "fax_number": "775-451-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SIERRA ROSE DR STE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112093",
            "telephone_number": "775-451-1701",
            "fax_number": "775-451-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "BRIAN",
        "middle_name": "DUONG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA2622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Ryan Doucette, DMD
• Michael Leo Doucette I
• Scott Gregory Dougan, M.D.
• Rachel Diane Doughman, MOT, OTR/L
• Sydney L Doughty
• Nicholas Edward Douroux Sr.
• Madison Dovedot, APRN
• Gloria Tavenner Dow, DNP, ACNPC-AG
• Jimmy Lewis Dowdell, OT
• Amber Dowling, RBT

• Medical Physician Assistant in Reno, NV
• Providers in Reno, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.