NPIMap

Organization Active NPI

Brian a Berelowitz MD Apc

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1912195488
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5954 Issued in NV
Legal business name
BRIAN A BERELOWITZ MD APC
Practice address
653 N Town Center Dr
Suite 315
Las Vegas, NV 89144-0514
Phone
(702) 804-9486
Fax
(702) 938-0441
NPI assigned
Oct 10, 2007
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Brian Albert Berelowitz, MDNPI 1356308357
Title
Owner
Phone
(702) 804-9486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5954 NV Primary

Addresses

Primary practice location

653 N Town Center Dr
Suite 315
Las Vegas, NV 89144-0514

Mailing address

653 N Town Center Dr
Suite 315
Las Vegas, NV 89144-0514
Phone (702) 804-9486

Other identifiers 1

IdentifierTypeStateIssuer
002002877MedicaidNV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1912195488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 315",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-804-9486",
            "fax_number": "702-938-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 315",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-804-9486",
            "fax_number": "702-938-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A BERELOWITZ MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "BERELOWITZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-804-9486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "5954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002877",
            "state": "NV"
        }
    ],
    "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 Nov 21, 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.