Individual provider Active NPI

Brian Keith Shrawder, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1962720896
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1157 Issued in NV
Practice address
1900 N Nellis Blvd
Las Vegas, NV 89115-6743
Phone
(702) 880-4193
Fax
(702) 531-6440
NPI assigned
May 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1157 NV
Physician Assistant 363A00000X PA1157 NV Primary

Addresses

Primary practice location

1900 N Nellis Blvd
Las Vegas, NV 89115-6743

Mailing address

4616 W Sahara Ave
#337
Las Vegas, NV 89102-3654
Phone (702) 227-4040

Other practice location 1

3841 W Charleston Blvd Ste 203
Las Vegas, NV 89102-1858
Phone (702) 848-4443

Other practice location 2

133 Enterprise Dr
Danville, VA 24540-4071
Phone (434) 792-2907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, VA, PA, WV, NY5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20131223000584 NV Practitioner - Physician Assistant 8325275225 Reassigns benefits to 4 organizations
I20191111002582 VA Practitioner - Physician Assistant 8325275225 Reassigns benefits to 1 organization
I20210726000929 PA Practitioner - Physician Assistant 8325275225 Reassigns benefits to 2 organizations
I20231002003038 WV Practitioner - Physician Assistant 8325275225 Reassigns benefits to 1 organization
I20231031000135 NY Practitioner - Physician Assistant 8325275225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1953 E 3Rd St
Upmc Gohealth Urgent Care
Williamsport, PA 17701-3901
Phone (570) 323-4072

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2406NEMDSocial Worker
029722NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jun 20, 2021 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Aug 29, 2019 Accepting new patients
Shadow Emergency Physicians PLLC Physician Assistant CurrentSince Nov 15, 2016 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jun 20, 2021 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients

Locations

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

133 Enterprise Dr
Danville, VA 24540
Phone (434) 792-2907

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: brian.shrawder@ghuc.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1962720896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 W SAHARA AVE",
            "address_2": "#337",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023654",
            "telephone_number": "702-227-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156743",
            "telephone_number": "702-880-4193",
            "fax_number": "702-531-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3841 W Charleston Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021858",
            "country_code": "US",
            "telephone_number": "702-848-4443",
            "fax_number": "702-805-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245404071",
            "country_code": "US",
            "telephone_number": "434-792-2907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRAWDER",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1157",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.