Brian E Lane, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA575 Issued in NV

Practice address

47 W Owens Ave
North Las Vegas, NV 89030-6865

Phone

(702) 307-4635

Fax

(702) 307-4631

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: blane@direct.nevadahealthcenters.nextgenshare.com

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1689686578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N CARSON ST STE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011227",
            "telephone_number": "775-888-6610",
            "fax_number": "775-887-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W OWENS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306865",
            "telephone_number": "702-307-4635",
            "fax_number": "702-307-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "BRIAN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA575",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689686578",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaundra Alyce Lampley
• Lucy Lan, MD
• Nathan Lancaster
• Veronica Landeros
• Rachelle Landers
• Laura Lane, DC
• William C Lane III
• Francisco Lang
• Michelle Lang
• Reninald Langston

• Physician Assistant in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.