Individual provider Active NPI

Brian Adam Davis, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Las Vegas, NV
National Provider Identifier
1760463830
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
20169 Issued in NV
Practice address
8930 W Sunset Rd Ste 140
Las Vegas, NV 89148-5009
Phone
(702) 968-3240
Fax
(702) 862-8227
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G85393 CA
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 20169 NV Primary

Addresses

Primary practice location

8930 W Sunset Rd Ste 140
Las Vegas, NV 89148-5009

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

9280 W Sunset Rd Ste 426
Las Vegas, NV 89148-4862
Phone (702) 688-8110

Other practice location 2

9260 W Sunset Rd Ste 200
Las Vegas, NV 89148-4903
Phone (702) 968-3240

Other identifiers 2

IdentifierTypeStateIssuer
20169OtherNVSTATE LICENSE
00G853930MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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
I20080807000369 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 2567536642 Reassigns benefits to 2 organizations
I20210216002253 NV Practitioner - Physical Medicine and RehabilitationPractitioner - Endocrinology 2567536642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Meharry Medical College School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9260 W Sunset Rd
Suite 100
Las Vegas, NV 89148-4903
Phone (702) 534-5466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G85393CAMDPhysical Medicine & Rehabilitation Physician
20169NVMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Jan 4, 2012 Accepting new patients
Regents of the University of Ca CurrentSince Jan 4, 2012 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Sports Medicine CurrentSince Jan 1, 2022 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2010 Accepting new patients
Healthcare Partners Medical Group Coats LTD Current Accepting new patients
Alberto Panero DO Inc Physical Medicine & Rehabilitation Current Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 1, 2022 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2010 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Essent PRMC LP Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

9390 Big Horn Blvd
Ste 120
Elk Grove, CA 95758

9390 Big Horn Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

10850 White Rock Rd
Rancho Cordova, CA 95670

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 3850
Sacramento, CA 95817
Phone (916) 734-5292

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

9280 W Sunset Rd
Ste 426
Las Vegas, NV 89148
Phone (702) 262-0124

9260 W Sunset Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 534-5464

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

8930 W Sunset Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 360-6686

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: briandavis@hcpnv.allscriptsdirect.net

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1760463830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485009",
            "telephone_number": "702-968-3240",
            "fax_number": "702-862-8227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9280 W Sunset Rd Ste 426",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484862",
            "country_code": "US",
            "telephone_number": "702-688-8110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9260 W Sunset Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484903",
            "country_code": "US",
            "telephone_number": "702-968-3240",
            "fax_number": "702-862-8227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRIAN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G85393",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NV",
            "license": "20169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20169",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G853930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.