Active NPI
Patrick Joseph Brandner, M.D.
- Orthopaedic Surgery Physician
- Las Vegas, NV
National Provider Identifier
1992783419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4497
- Practice address
- 2800 E Desert Inn Rd
Suite 100
Las Vegas, NV 89121-3608 - Phone
- (702) 731-1616
- Fax
- (702) 731-0741
- NPI assigned
- Jan 4, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4497 | NV | Primary |
Addresses
Primary practice location
2800 E Desert Inn Rd
Suite 100
Las Vegas, NV 89121-3608
Mailing address
PO Box 50509
Henderson, NV 89016-0509
Phone (702) 731-1616
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200000555 | Other | R.R. MEDICARE | |
| 2002037 | Medicaid | NV | |
| 4297426 | Other | AETNA | |
| NV4494 | Other | BXBS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4497 | NV | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1992783419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50509",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890160509",
"telephone_number": "702-731-1616",
"fax_number": "702-731-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E DESERT INN RD",
"address_2": "SUITE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213608",
"telephone_number": "702-731-1616",
"fax_number": "702-731-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDNER",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NV",
"license": "4497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE",
"identifier": "200000555",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2002037",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4297426",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS",
"identifier": "NV4494",
"state": null
}
],
"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 Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.