Active NPI
Bryson Gibbs Richards, M.D.
- Plastic Surgery Physician
- Las Vegas, NV
National Provider Identifier
1689841421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 15319
- Practice address
- 6020 S. Rainbow Blvd
BLDG C
Las Vegas, NV 89118 - Phone
- (702) 870-7070
- Fax
- (702) 870-0068
- NPI assigned
- May 12, 2008
- Last updated
- Nov 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 15319 | NV | Primary |
Addresses
Primary practice location
6020 S. Rainbow Blvd
BLDG C
Las Vegas, NV 89118
Mailing address
6020 S. Rainbow Blvd
BLDG C
Las Vegas, NV 89118
Phone (702) 870-7070
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
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- Las Vegas, NV
- NPI 1851787691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1689841421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 S. RAINBOW BLVD",
"address_2": "BLDG C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89118",
"telephone_number": "702-870-7070",
"fax_number": "702-870-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 S. RAINBOW BLVD",
"address_2": "BLDG C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89118",
"telephone_number": "702-870-7070",
"fax_number": "702-870-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "BRYSON",
"middle_name": "GIBBS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NV",
"license": "15319",
"primary": true
}
],
"identifiers": [],
"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 Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.