Organization Active NPI

B a Hanna MD Prof Corp

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1730387010
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9626 Issued in NV
Legal business name
B A HANNA MD PROF CORP
Practice address
6930 S Cimarron Rd Ste 220
Las Vegas, NV 89113-2404
Phone
(702) 384-1160
Fax
(702) 835-0676
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Dr. Bernadine A Hanna, MDNPI 1306990809
Title
President
Phone
(702) 384-1160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 9626 NV Primary

Addresses

Primary practice location

6930 S Cimarron Rd Ste 220
Las Vegas, NV 89113-2404

Mailing address

6930 S Cimarron Rd Ste 220
Las Vegas, NV 89113-2404
Phone (702) 384-1160

Other identifiers 2

IdentifierTypeStateIssuer
CC6526OtherNVANTHEM BX BS
100501360MedicaidNV

Other names 2

  • General Surgey Solutions Doing business as
  • Las Vegas Bariatrics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000429 NV Part B Supplier - Clinic/Group Practice 0345228862 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
B a Hanna MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7220 S Cimarron Rd
Las Vegas, NV 89113
Phone (702) 912-4100

7220 S Cimarron Rd
Ste 100
Las Vegas, NV 89113
Phone (702) 384-1160

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1730387010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 S CIMARRON RD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132404",
            "telephone_number": "702-384-1160",
            "fax_number": "702-202-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 S CIMARRON RD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132404",
            "telephone_number": "702-384-1160",
            "fax_number": "702-835-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B A HANNA MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "BERNADINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-384-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NV",
            "license": "9626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BX BS",
            "identifier": "CC6526",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501360",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Surgey Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Las Vegas Bariatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.