Jefferson D Bracey (NPI# 1811093669, PAC ID# 8325141146) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1811093669 |
PAC ID by PECOS | 8325141146 |
Professional Enrollment ID | I20070725000415 |
Full Name | Jefferson D Bracey |
Organization Legal Name | CLARK SCHILLINGER EMERGENCY GROUP, PC |
Address |
4855 Blue Diamond Rd Las Vegas NV 89139-7602 |
Phone Number | 7022167305 |
Gender | M |
Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
Graduation Year | 1989 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 8729343462 |
Number of Group Practice Members | 40 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
290007 | UNIVERSITY MEDICAL CENTER |
290058 | DIGNITY HEALTH ST ROSE DOMINICAN-NORTH LAS VEGAS CAMPUS |
Address | Phone | Organization |
---|---|---|
4855 Blue Diamond Rd, Las Vegas, NV 89139-7602 | 7022167305 | CLARK SCHILLINGER EMERGENCY GROUP, PC |
9880 W Flamingo Rd, Las Vegas, NV 89147-8085 | 7022167335 | CLARK SCHILLINGER EMERGENCY GROUP, PC |
Organization Legal Name | CLARK SCHILLINGER EMERGENCY GROUP, PC |
Physicians | 27 |
Name | Specialty | Organization | Address |
---|---|---|---|
Krystal Lynn Ribeiro | Emergency Medicine | Clark Schillinger Emergency Group, PC | 4980 W Sahara Ave, Las Vegas, NV 89146-3462 |
Lance T Bacon | Emergency Medicine | Clark Schillinger Emergency Group, PC | 4855 Blue Diamond Rd, Las Vegas, NV 89139-7602 |
Gregory F Truax | Emergency Medicine | Clark Schillinger Emergency Group, PC | 9880 W Flamingo Rd, Las Vegas, NV 89147-8085 |
Ketan Patel | Emergency Medicine | Clark Schillinger Emergency Group, PC | 1550 W Craig Rd, North Las Vegas, NV 89032-0224 |
Kristopher Ryan Shannon | Emergency Medicine | Clark Schillinger Emergency Group, PC | 1550 W Craig Rd, North Las Vegas, NV 89032-0224 |
Francis X Del Vecchio | Emergency Medicine | Clark Schillinger Emergency Group, PC | 1550 W Craig Rd, North Las Vegas, NV 89032-0224 |
Jason P Jones | Emergency Medicine | Clark Schillinger Emergency Group, PC | 1550 W Craig Rd, North Las Vegas, NV 89032-0224 |
Bilal M Hijazi | Emergency Medicine | Clark Schillinger Emergency Group, PC | 1550 W Craig Rd, North Las Vegas, NV 89032-0224 |
Dana L Trippi | Emergency Medicine | Clark Schillinger Emergency Group, PC | 1550 W Craig Rd, North Las Vegas, NV 89032-0224 |
Charles K Bibby Jr. | Family Medicine | Clark Schillinger Emergency Group, PC | 1550 W Craig Rd, North Las Vegas, NV 89032-0224 |
Street Address |
4855 BLUE DIAMOND RD |
City | LAS VEGAS |
State | NV |
Zip | 89139-7602 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lance T Bacon | Emergency Medicine | Clark Schillinger Emergency Group, PC | 4855 Blue Diamond Rd, Las Vegas, NV 89139-7602 |
Ronald W Scheer | Emergency Medicine | Clark Schillinger Emergency Group, PC | 4855 Blue Diamond Rd, Las Vegas, NV 89139-7602 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward K Tsai | Family Medicine | 7377 S Jones Blvd, Suite 107, Las Vegas, NV 89139-0547 | |
Thomas M Huynh | Chiropractic | 7835 S Rainbow Blvd, Suite 8, Las Vegas, NV 89139-6456 | |
Tamara L Gutierrez | Optometry | 7775 S Rainbow Blvd, Suite 110, Las Vegas, NV 89139-6473 | |
Dale Bartek | Physical Therapy | Sports LLC | 7770 Dean Martin Dr, Suite 307, Las Vegas, NV 89139-6603 |
Aleisha Matsuura | Physical Therapy | Sports LLC | 7770 Dean Martin Dr, Suite 307, Las Vegas, NV 89139-6603 |
Carla Naval | Physical Therapy | Sports LLC | 7770 Dean Martin Dr, Suite 307, Las Vegas, NV 89139-6603 |
James R Casler Jr. | Physical Therapy | Sports LLC | 7770 Dean Martin Dr, Suite 307, Las Vegas, NV 89139-6603 |
Elizabeth M Peguese | Optometry | 4860 Blue Diamond Rd, Suite 120, Las Vegas, NV 89139-7676 | |
Tina Xu | Optometry | Progressive Eyecare | 4100 Blue Diamond Rd, Las Vegas, NV 89139-7717 |
Rachel Elizabeth Gross | Physical Therapy | New Century Rehabilitation LLC | 4370 Blue Diamond Rd, Suite 100, Las Vegas, NV 89139-7787 |
Find all physicians in zip 89139 |
City | LAS VEGAS |
Zip Code | 89139 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | LAS VEGAS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jefferson D Bracey.
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.