S & J Brotherson Enterprises LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

327 Issued in NV

Legal business name

S & J BROTHERSON ENTERPRISES LLC

Doing business as

Scott K Brotherson O.D.

Practice address

61 N Willow St
Suite 2
Mesquite, NV 89027-4785

Phone

(702) 346-3031

Fax

(702) 346-0920

NPI assigned

Oct 10, 2012

Last updated

Nov 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Kirk Brotherson, O.D.NPI 1063457422

Title

Manager

Phone

(702) 346-3031

Specialties & licenses 1

Addresses

Other names 1

• SCOTT K BROTHERSON O.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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.

• Scott Kirk Brotherson, O.D.

  • Optometrist
  • Mesquite, NV
  • NPI 1063457422
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1891047114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 N WILLOW ST",
            "address_2": "SUITE 2",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274785",
            "telephone_number": "702-346-3031",
            "fax_number": "702-346-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N WILLOW ST",
            "address_2": "SUITE 2",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274785",
            "telephone_number": "702-346-3031",
            "fax_number": "702-346-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & J BROTHERSON ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "BROTHERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-346-3031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOTT K BROTHERSON O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Lynn Rodgers, RN
• Leigh Susan Roessner, DC
• Patricia Elaine Rogers
• Robert William Ruess, MD
• Sara Ruiz, CHW
• Anthony Salazar, CHW
• Jacy Sally P Santos
• Jamie Santos
• Joey Santos
• Christian Saria, PHARMD

• Optometrist in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.