Richard J Bralliar, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

815 Issued in NV

Practice address

2445 Fire Mesa St
270
Las Vegas, NV 89128-9014

Phone

(702) 876-9330

Fax

(702) 876-9061

NPI assigned

Apr 28, 2006

Last updated

May 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.bralliar.1@3548.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HLN Physicians Inc

  • Psychiatry Physician
  • Gold River, CA
  • NPI 1073899191

  NV

  Medicare reassignment NPD
• Bralliar Psychiatric Associates Professional Corporation

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1588839203
  NPD Authorized official
• Unsom Multi-Spec GRP Pract S

  dba MedScool Associates South

  • Surgery Physician
  • Henderson, NV
  • NPI 1053739268
  NPD (past)
• Uhs BH Telepsych FL, PLLC

  • Psychiatry Physician
  • Ponte Vedra Beach, FL
  • NPI 1790453033
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1578520896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171990",
            "telephone_number": "702-406-6758",
            "fax_number": "702-852-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 FIRE MESA ST",
            "address_2": "270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289014",
            "telephone_number": "702-876-9330",
            "fax_number": "702-876-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRALLIAR",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019185",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brainwaves & Counseling LLC
• Fadi S Braiteh, M.D.
• Bral International Medical Institute
• Bral International Medical Institute LLC
• Bralliar Psychiatric Associates Professional Corporation
• Judith Bramasco
• Leilah Bramasco
• Leobardo Bramasco
• Maria Elizabeth Brambila
• Lacy Shireen Brame, DO

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.