Individual provider Active NPI

Brian P McNally, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
National Provider Identifier
1760459184
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
12964 Issued in NV
Practice address
3059 S Maryland Pkwy
Suite 100
Las Vegas, NV 89109-2294
Phone
(702) 732-3441
Fax
(702) 732-2310
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25385 AZ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 12964 NV Primary

Addresses

Primary practice location

3059 S Maryland Pkwy
Suite 100
Las Vegas, NV 89109-2294

Mailing address

7455 W Washington Ave
Ste 301
Las Vegas, NV 89128-4340
Phone (702) 732-3441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111028000057 AZ Practitioner - Pathology 3274706841 Reassigns benefits to 1 organization
I20200420000020 CA Practitioner - Pathology 3274706841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.39 of 100Reported as group
Quality
88.62
Improvement activities
40
Cost
77.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25385AZMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Specialist of Arizona, LLP Anatomic Pathology & Clinical Pathology Current Accepting new patients
Laboratory Medicine Consultants LTD CurrentSince Sep 1, 2011 Accepting new patients
Affiliated Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2020 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

File 749203
Los Angeles, CA 90074

2374 E Pacifica Pl
Rancho Dominguez, CA 90220
Phone (310) 225-3221

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441

7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1760459184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "STE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284340",
            "telephone_number": "702-732-3441",
            "fax_number": "702-732-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 S MARYLAND PKWY",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092294",
            "telephone_number": "702-732-3441",
            "fax_number": "702-732-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "BRIAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "25385",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "12964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.