Kyle Broyard

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

3853 Hollycroft Dr
North Las Vegas, NV 89081-6636

Phone

(661) 618-0512

NPI assigned

Mar 11, 2020

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1962037747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD STE 103-22",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216038",
            "telephone_number": "661-618-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3853 HOLLYCROFT DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816636",
            "telephone_number": "661-618-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYARD",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Brown
• Zara Brown
• Alvin Browne, LICENSED INTERN MFT
• Rupert Browne
• Urla A Browne
• Robert Wayne Bruce
• Akilah Brumfield
• Christine May Brunet
• Jesse Fox Brunner, DPT
• Tyiler Bruno

• Homemaker in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Homemaker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.