Matthew David Brockway

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO3623 Issued in NV

Practice address

1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503

Phone

(702) 346-0800

NPI assigned

Mar 25, 2021

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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 1

Specialty

Internal Medicine

Education

Rocky Vista University College of Osteopathic Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mesquite Clinic Management Company LLCGroup PAC ID 8123456456, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mesa View Home Care LLC Home health agency, Mesquite, NV, CCN 297160
• Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307
• St. George Regional Hospital Hospital, St George, UT, CCN 460021
• Mesa View Regional Hospital Nursing home, CCN 29Z307

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.brockway.1@2184.direct.athenahealth.com
• Direct secure messaging: matthew.brockway@hca3.eclinicaldirectplus.com
• Direct secure messaging: mbrockwa@yourcarecommunity.org

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.

• Mesquite Clinic Management Company LLC

  • Internal Medicine Physician
  • Mesquite, NV
  • NPI 1548800501
  Medicare reassignment Care Compare group NPD
• Mesquite Clinic Management Company LLC

  • Rural Health Clinic/Center
  • Logandale, NV
  • NPI 1982275236
  NPD
• Alfaro LTD

  dba Mesa View Medical Group

  • Surgery Physician
  • Mesquite, NV
  • NPI 1467787192
  NPD (past)
• MMC of Nevada LLC

  dba Mesa View Regional Hospital

  • Critical Access Hospital
  • Mesquite, NV
  • NPI 1275588782
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mesa View Home Care, LLC

  • Home Health Agency
  • Mesquite, NV
  • NPI 1811174196
  Care Compare affiliation
• MMC of Nevada LLC

  dba Mesa View Regional Hospital

  • Critical Access Hospital
  • Mesquite, NV
  • NPI 1275588782
  Care Compare affiliation
• MMC of Nevada LLC

  dba Mesa View Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Mesquite, NV
  • NPI 1275743791

  Nursing home

  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health St. George Regional Hospital

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1861079097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N TENAYA WAY",
            "address_2": "GRADUATE MEDICAL EDUCATION",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKWAY",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO3623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Blancarte, M.D.
• Beatrice Mary Blay, FNP
• Alex D. Blazzard, D.D.S.
• Brett P Richardson OD PLLC
• Rodney Briggs, PA-C
• Scott Kirk Brotherson, O.D.
• Holly Victoria Brown
• Melissa Lynn Brown
• Pam Bruehl
• Sarah Kay Buckendahl, PT, MPT, GCS

• Internal Medicine Physician in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.