Brock A Bleazard (NPI# 1548608763, PAC ID# 7113258039) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1548608763 |
| PAC ID by PECOS | 7113258039 |
| Professional Enrollment ID | I20191008000839 |
| Full Name | Brock A Bleazard |
| Organization Legal Name | RADIOLOGY SPECIALISTS LTD MARASSO-MILLER |
| Address |
7130 Smoke Ranch Rd Suite 101 Las Vegas NV 89128-3157 |
| Phone Number | 7023048135 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0143110874 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290039 | MOUNTAINVIEW HOSPITAL |
| 290003 | SUNRISE HOSPITAL AND MEDICAL CENTER |
| 290047 | SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7130 Smoke Ranch Rd, Suite 101, Las Vegas, NV 89128-3157 | 7023048135 | RADIOLOGY SPECIALISTS LTD MARASSO-MILLER |
| 9300 W Sunset Rd, Las Vegas, NV 89148-4844 | 7028802984 | RADIOLOGY SPECIALISTS LTD MARASSO-MILLER |
| Organization Legal Name | RADIOLOGY SPECIALISTS LTD MARASSO-MILLER |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel D Hernandez | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 2535 Fenton Pkwy, Apt 301, San Diego, CA 92108-6768 |
| Arthur A Montes | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 7130 Smoke Ranch Rd, Suite 101, Las Vegas, NV 89128-3157 |
| Joshua M Owen | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
| Richard A Schwartz | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
| Kelly Gardner | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 7130 Smoke Ranch Rd, Suite 101, Las Vegas, NV 89128-3157 |
| Sean D Beaty | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
| Aaron T Peterson | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
| Dean P Berthoty | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 |
| Steven H Davis | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 102 E Lake Mead Pkwy, Henderson, NV 89015-5575 |
| Kitty U Ho Cain | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 102 E Lake Mead Pkwy, Henderson, NV 89015-5575 |
| Street Address |
7130 SMOKE RANCH RD SUITE 101 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89128-3157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur A Montes | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 7130 Smoke Ranch Rd, Suite 101, Las Vegas, NV 89128-3157 |
| Kelly Gardner | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 7130 Smoke Ranch Rd, Suite 101, Las Vegas, NV 89128-3157 |
| Wayne E Jacobs | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 7130 Smoke Ranch Rd, Suite 101, Las Vegas, NV 89128-3157 |
| Srivathsa C Veeraraghavan | Diagnostic Radiology | Radiology Specialists Ltd Marasso-miller | 7130 Smoke Ranch Rd, Suite 101, Las Vegas, NV 89128-3157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica E Pempek | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| Spencer J Hubbard | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| Craig W Calder | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| Sean M Dunleavy | Chiropractic | Ian K Yamane Dc PC | 2851 N Tenay Way, 103 Nevada Rehabilitation Centers, Las Vegas, NV 89128 |
| John T Kenny | Chiropractic | Northwest Health Group Inc | 7398 Smoke Ranch Rd, Las Vegas, NV 89128-0256 |
| Julie T Madgwick | Clinical Social Worker | 7473 W Lake Mead Blvd, Suite 100, Las Vegas, NV 89128-0265 | |
| Theresa L Stempien | Qualified Speech Language Pathologist | 7473 W Lake Mead Blvd, Suite 100, Las Vegas, NV 89128-0265 | |
| Andrea C Radtke | Optometry | Optic Gallery Summerlin, Inc | 7450 W Lake Mead Blvd, Suite 2, Las Vegas, NV 89128-0295 |
| Wess M Jordan | Optometry | Optic Gallery Summerlin, Inc | 7450 W Lake Mead Blvd, Suite 2, Las Vegas, NV 89128-0295 |
| David T Wang | Diagnostic Radiology | Kittusamy LLP | 7500 Smoke Ranch Rd, Suite 100, Las Vegas, NV 89128-0373 |
| Find all physicians in zip 89128 | |||
| City | LAS VEGAS |
| Zip Code | 89128 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LAS VEGAS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Brock A Bleazard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.