BRIAN EDWARD GRACE (NPI# 1487746459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487746459 |
| Entity Type | Individual |
| Full Name | BRIAN EDWARD GRACE |
| Credential | PA |
| Practice Address |
5188 Blissful Valley Cir Las Vegas NV 89149-5262 |
| Practice Telephone | 7023739929 |
| Practice Fax Number | 8008862862 |
| Mailing Telephone | 7023739929 |
| Mailing Fax Number | 8008862862 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2018-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA727 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002402144 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021733 | Brian Grace | Pharmacist | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-04-13 |
| 1730184565 | Brian Grace | Anesthesiology | 639 N Mulberry St, Elizabethtown, KY 42701-1931 | 2005-06-17 |
| Street Address |
5188 BLISSFUL VALLEY CIR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89149-5262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
| 1699384941 | Dignity Select Nevada, LLC | Clinic/Center | 8675 W Rome Blvd, Las Vegas, NV 89149 | 2020-07-23 |
| 1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
| 1285292052 | Dianne Pana | Physical Therapist | 351 N Fort Apache Rd, Las Vegas, NV 89149 | 2019-06-05 |
| 1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
| 1790242543 | Carl Anthony Llanos Plaza | Nurse Practitioner | 6440 W Centennial Pkwy, Unit 155, Las Vegas, NV 89149 | 2019-02-28 |
| 1932664158 | Lychee Holdings, LLC | Skilled Nursing Facility | 8565 W Rome Blvd, Las Vegas, NV 89149 | 2019-02-01 |
| 1366976276 | Pam Squared At Las Vegas, LLC | Rehabilitation Hospital | 6166 North Durango Drive, Las Vegas, NV 89149 | 2017-04-18 |
| 1083076269 | Kristopher Kevin Kleinman | Registered Nurse | 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 | 2016-03-25 |
| 1326428962 | Kimberly Vialpando | Physical Therapist | 6351 N. Forte Apache Road, Las Vegas, NV 89149 | 2015-06-08 |
| Find all providers in zip 89149 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453186 | High Cotton LLC | Physician Assistant | 7995 Blue Diamond Rd Ste 102-356, Las Vegas, NV 89178-9301 | 2020-10-06 |
| 1427591759 | Eduardo Delatorre | Physician Assistant | 7978 Coronado Coast St, Las Vegas, NV 89139-6192 | 2016-11-17 |
| 1992130181 | Jason Michael Hall | Physician Assistant | 7385 S Pecos Rd Ste 101, Las Vegas, NV 89120-3768 | 2013-09-06 |
| 1790024164 | Rachelle L Kidd | Physician Assistant | 9162 Ballineen Ct, Las Vegas, NV 89148-4946 | 2013-02-05 |
| 1104162643 | David J Barth P.C. | Physician Assistant | 5455 S Fort Apache Rd Ste 108-9, Las Vegas, NV 89148-6408 | 2013-01-02 |
| 1184977555 | Luke V. Desjarlais, Pllc | Physician Assistant | 9035 Westchester Hill Ave, Las Vegas, NV 89148-4926 | 2012-10-22 |
| 1598023954 | Ronald Lavor Moon | Physician Assistant | 9806 Red Deer St, Las Vegas, NV 89143 | 2012-04-23 |
| 1720319890 | Tiffany Ann Teepen | Physician Assistant | 8420 W Warm Springs Rd # 100, Las Vegas, NV 89113-3624 | 2010-01-28 |
| 1093046963 | Physician Assistant Surgical Specialists | Physician Assistant | 8979 Haviland Rd, Las Vegas, NV 89123-0617 | 2010-01-16 |
| 1578745667 | Jonna Erin Dewaal | Physician Assistant | 3308 Crystal Tower St, Las Vegas, NV 89129-8141 | 2007-11-29 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.