Individual provider Active NPI

Brandy Padilla-Jones, M.D.

  • Trauma Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1871859488
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
R1266 Issued in TX
Practice address
3131 La Canada St Ste 217
Las Vegas, NV 89169-2579
Phone
(775) 309-4881
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Trauma Surgery Physician 2086S0127X R1266 TX Primary

Addresses

Primary practice location

3131 La Canada St Ste 217
Las Vegas, NV 89169-2579

Mailing address

3131 La Canada St Ste 217
Las Vegas, NV 89169-2579
Phone (702) 369-7152

Other practice location 1

Msc 10 6000
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6487

Other practice location 2

6431 Fannin Street
MSB 4.284
Houston, TX 77030
Phone (713) 500-5493

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BPADILLAJONE@direct.iuhealth.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201009001673 NV Practitioner - General Surgery 5799929220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of New Mexico School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Surgical Associates Fisher PLLCGroup PAC ID 3375671803, 7 clinicians

Practice addresses (Care Compare)

3131 La Canada St
Suite 217
Las Vegas, NV 89169-2579
Phone (702) 369-7152

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1266TXMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Surgical Associates Fisher PLLC Trauma Surgery CurrentSince Nov 1, 2020 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3131 La Canada St
Ste 217
Las Vegas, NV 89169
Phone (702) 369-7152

3196 S Maryland Pkwy
Ste 101A
Las Vegas, NV 89109
Phone (702) 369-7152

Interoperability endpoints

  • Direct secure messaging: bpadillajone@direct.iuhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1871859488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692579",
            "telephone_number": "702-369-7152",
            "fax_number": "702-369-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692579",
            "telephone_number": "775-309-4881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc 10 6000",
            "address_2": "1 University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-6487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6431 Fannin Street",
            "address_2": "MSB 4.284",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "713-500-5493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA-JONES",
        "first_name": "BRANDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "R1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BPADILLAJONE@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "Msc 10 6000",
            "address_2": "1 University of New Mexico",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871310001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.