NPIMap

Individual provider Active NPI

Brian J Carlson, M.D.

  • Gastroenterology Physician
  • North Las Vegas, NV
National Provider Identifier
1740255462
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
00G732910 Issued in CA
Practice address
2031 McDaniel St
Suite 210
North Las Vegas, NV 89030-6303
Phone
(702) 633-0207
Fax
(209) 532-1817
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 00G732910 CA Primary

Addresses

Primary practice location

2031 McDaniel St
Suite 210
North Las Vegas, NV 89030-6303

Mailing address

5440 W Sahara Ave Ste 302
Las Vegas, NV 89146-0355
Phone (702) 633-0207

Other practice location 1

5440 W Sahara Ave Ste 302
Las Vegas, NV 89146-0355
Phone (702) 633-0207

Other identifiers 3

IdentifierTypeStateIssuer
100013695OtherCARAILROAD MEDICARE
1740255462MedicaidNV
00G732910MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124002381 NV Practitioner - GastroenterologyPractitioner - Internal Medicine 8729157169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Associates LLPGroup PAC ID 7810067741, 17 clinicians

Practice addresses (Care Compare)

2031 McDaniel St
Suite 140
N Las Vegas, NV 89030-6308
Phone (702) 633-0207

Hospital & facility affiliations

  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039

Merit-based Incentive Payment System (MIPS)

Final score
97.79 of 100Reported as group
Quality
79.17
Promoting interoperability
97
Improvement activities
40
Cost
84.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy200
Upper gastrointestinal (GI) endoscopy for acid reflux270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00G732910CAMDGastroenterology Physician
73291CAMDMassage Therapist

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 and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740255462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 W SAHARA AVE STE 302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460355",
            "telephone_number": "702-633-0207",
            "fax_number": "209-532-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 MCDANIEL ST",
            "address_2": "SUITE 210",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306303",
            "telephone_number": "702-633-0207",
            "fax_number": "209-532-1817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5440 W Sahara Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891460355",
            "country_code": "US",
            "telephone_number": "702-633-0207",
            "fax_number": "209-532-1817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "00G732910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100013695",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740255462",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G732910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.