Organization Active NPI

Nevada Tendonitis Clinic LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Henderson, NV
National Provider Identifier
1811194533
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
NEVADA TENDONITIS CLINIC LLC
Practice address
2225 Village Walk Dr
Suite 280
Henderson, NV 89052-5679
Phone
(702) 617-2995
NPI assigned
Jun 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce Handelman, M.D.NPI 1437131174
Title
Medical Director
Phone
(702) 617-2995

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
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X NU Primary

Addresses

Primary practice location

2225 Village Walk Dr
Suite 280
Henderson, NV 89052-5679

Mailing address

2225 Village Walk Dr
Suite 280
Henderson, NV 89052-5679
Phone (702) 617-2995

National Provider Directory

National Provider Directory

Locations

2225 Village Walk Dr
Ste 280
Henderson, NV 89052
Phone (702) 617-2995

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811194533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 VILLAGE WALK DR",
            "address_2": "SUITE 280",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525679",
            "telephone_number": "702-617-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 VILLAGE WALK DR",
            "address_2": "SUITE 280",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525679",
            "telephone_number": "702-617-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA TENDONITIS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANDELMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-617-2995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.