NPIMap

Individual provider Active NPI

Brian William Traugh, PA-C

  • Physician Assistant
  • North Las Vegas, NV
National Provider Identifier
1841373859
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-C0176 Issued in NV
Practice address
2621 Losee Rd
North Las Vegas, NV 89030-4129
Phone
(702) 295-1473
Fax
(702) 295-4323
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011220 NY
Physician Assistant 363A00000X 004959 GA
Physician Assistant 363A00000X PA-C0176 NV Primary

Addresses

Primary practice location

2621 Losee Rd
North Las Vegas, NV 89030-4129

Mailing address

2621 Losee Rd
North Las Vegas, NV 89030-4129
Phone (702) 295-1473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-C0176NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Emergency Physicians LLC Past Accepting new patients
Winnebago Indian Health Service Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Sierra Nevada Cardiology Associates Catheterization Laboratory PastSince Jul 1, 2001 Accepting new patients

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1841373859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 LOSEE RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890304129",
            "telephone_number": "702-295-1473",
            "fax_number": "702-295-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 LOSEE RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890304129",
            "telephone_number": "702-295-1473",
            "fax_number": "702-295-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUGH",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Prof.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011220",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004959",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA-C0176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.