Active NPI
Brandy Labritt Allen
- General Practice Physician
- Las Vegas, NV
National Provider Identifier
1962180372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8528
- Practice address
- 920 W Owens Ave Ste B
Las Vegas, NV 89106-2516 - Phone
- (702) 659-6910
- Fax
- (702) 659-6921
- NPI assigned
- Jul 6, 2023
- Last updated
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8528 | NV | Primary |
Addresses
Primary practice location
920 W Owens Ave Ste B
Las Vegas, NV 89106-2516
Mailing address
920 W Owens Ave Ste B
Las Vegas, NV 89106-2516
Phone (702) 659-6910
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8528 | NV | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Healthcare LLC | General Practice | Current | Accepting new patients |
Locations
920 W Owens Ave
Ste B
Las Vegas, NV 89106
Phone (702) 205-0428
955 W Craig Rd
Ste 107H
North Las Vegas, NV 89032
Phone (702) 205-0428
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1962180372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 W OWENS AVE STE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062516",
"telephone_number": "702-659-6910",
"fax_number": "702-659-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W OWENS AVE STE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062516",
"telephone_number": "702-659-6910",
"fax_number": "702-659-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "BRANDY",
"middle_name": "LABRITT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NV",
"license": "8528",
"primary": true
}
],
"identifiers": [],
"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 Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.