Active NPI
Brian C Sady, PA-C
- Medical Physician Assistant
- Las Vegas, NV
National Provider Identifier
1942253307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 576
- Practice address
- 4475 S. Eastern
Las Vegas, NV 89119 - Phone
- (702) 737-1880
- Fax
- (702) 650-5729
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 576 | NV | Primary |
Addresses
Primary practice location
4475 S. Eastern
Las Vegas, NV 89119
Mailing address
PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 844-5310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2402099 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 576 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Terry D. Johnson, P.a. | Past | Accepting new patients | |
| Linda L. Johnson MD, LTD | Past | Accepting new patients | |
| Sady Medical Enterprises, Inc. | Medical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Medical Physician Assistant
- Las Vegas, NV
- NPI 1184676728
-
- Adult Medicine Physician
- Henderson, NV
- NPI 1376838110
-
- Family Medicine Physician
- Moncks Corner, SC
- NPI 1467751495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320969600000",
"number": "1942253307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15645",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891145645",
"telephone_number": "702-844-5310",
"fax_number": "702-856-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4475 S. EASTERN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89119",
"telephone_number": "702-737-1880",
"fax_number": "702-650-5729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADY",
"first_name": "BRIAN",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2011-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2402099",
"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 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.