Individual provider Active NPI

Grant D Gerhard

  • Emergency Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1962906560
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO2782 Issued in NV
Practice address
8300 W Cheyenne Ave Ste 105
Las Vegas, NV 89129-2177
Phone
(702) 656-0911
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X DO2782 NV Primary

Addresses

Primary practice location

8300 W Cheyenne Ave Ste 105
Las Vegas, NV 89129-2177

Mailing address

8300 W Cheyenne Ave Ste 105
Las Vegas, NV 89129-2177
Phone (614) 302-1573

Other practice location 1

2880 N Tenaya Way
Las Vegas, NV 89128-0618
Phone (614) 302-1573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201016002426 NV Practitioner - Emergency Medicine 1557619426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown Calvanese Cameron LTDGroup PAC ID 3577468347, 43 clinicians
Winnemucca Emergency Physicians LLCGroup PAC ID 2860434503, 16 clinicians

Practice addresses (Care Compare)

1155 Mill St
MCZ 11
Reno, NV 89502-1576
Phone (775) 324-4040

118 E Haskell St
Winnemucca, NV 89445-3247
Phone (954) 939-5000

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Humboldt General Hospital Hospital, Winnemucca, NV, CCN 291308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Winnemucca Emergency Physicians LLC Emergency Medicine CurrentSince May 24, 2022 Accepting new patients
Brown, Calvanese, Cameron LTD Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Team Physicians of Nevada-Scherr, P.C. Emergency Medicine CurrentSince Mar 22, 2021 Accepting new patients

Locations

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1155 Mill St
#11
Reno, NV 89502
Phone (775) 327-5174

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1962906560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W CHEYENNE AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292177",
            "telephone_number": "614-302-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W CHEYENNE AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292177",
            "telephone_number": "702-656-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2880 N Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280618",
            "country_code": "US",
            "telephone_number": "614-302-1573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERHARD",
        "first_name": "GRANT",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO2782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.