Organization Active NPI

Cerebral Medical Center LTD.

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1841928397
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CEREBRAL MEDICAL CENTER LTD.
Practice address
2785 E Desert Inn Rd Ste 200
Las Vegas, NV 89121-3624
Phone
(702) 743-1771
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Jacqueline Bruce
Title
Owner
Phone
(702) 743-1771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2785 E Desert Inn Rd Ste 200
Las Vegas, NV 89121-3624

Mailing address

5533 Colorado Breeze Way
North Las Vegas, NV 89031-0740
Phone (702) 773-5316

National Provider Directory

National Provider Directory

Locations

2785 E Desert Inn Rd
Ste 200
Las Vegas, NV 89121
Phone (702) 296-4844

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1841928397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 COLORADO BREEZE WAY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310740",
            "telephone_number": "702-773-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 E DESERT INN RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213624",
            "telephone_number": "702-743-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL MEDICAL CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-743-1771"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.