BRENT FREDERICK BARTHOLOMEW (NPI# 1568464097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568464097 |
| Entity Type | Individual |
| Full Name | BRENT FREDERICK BARTHOLOMEW |
| Credential | MD |
| Practice Address |
653 Town Center Dr 317 Las Vegas NV 89144-0504 |
| Mailing Address |
8906 Spanish Ridge Ave 202 Las Vegas NV 89148-1304 |
| Practice Telephone | 7023822900 |
| Practice Fax Number | 7023821980 |
| Mailing Telephone | 7025771622 |
| Mailing Fax Number | 7029124994 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 6911 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 2019546 | 05 | |
| NV | 1568464097 | 05 |
| Street Address |
653 TOWN CENTER DR 317 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-0504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912971847 | Jacquelin A Weil | Family Medicine | 653 Town Center Dr, #514, Las Vegas, NV 89144-0519 | 2006-02-15 |
| 1154394211 | Khanh V Le | Internal Medicine | 653 Town Center Dr, Ste #600, Las Vegas, NV 89144-0520 | 2006-02-09 |
| 1962499384 | Rachel A Mcconnell | Obstetrics & Gynecology | 653 Town Center Dr, 206, Las Vegas, NV 89142 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664115 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 3300 E Flamingo Rd Ste 25, Las Vegas, NV 89121-4398 | 2019-11-25 |
| 1578912515 | Heather Hyland Madden | Obstetrics & Gynecology | 3196 S Maryland Pkwy Ste 410, Las Vegas, NV 89109-2315 | 2016-06-10 |
| 1679937031 | Sarah Amarylis Roadhouse | Obstetrics & Gynecology | 9120 W Post Rd Ste 200, Las Vegas, NV 89148-2427 | 2016-04-11 |
| 1134583727 | Erica Renee Davenport | Obstetrics & Gynecology | 2880 N Tenaya Way Ste 310, Las Vegas, NV 89128-0642 | 2016-04-08 |
| 1346638491 | Kevin Tran | Obstetrics & Gynecology | 1707 W Charleston Blvd Ste 220, Las Vegas, NV 89102-2353 | 2014-12-23 |
| 1679975361 | Wellhealth Medical Group, PC | Obstetrics & Gynecology | 9260 W Sunset Rd Ste 102, Las Vegas, NV 89148-4858 | 2014-09-24 |
| 1245644475 | Javier Humberto Cajina | Obstetrics & Gynecology | 2040 W Charleston Blvd Ste 200, Las Vegas, NV 89102-2248 | 2014-06-16 |
| 1619302684 | Leanne Almario | Obstetrics & Gynecology | 2851 N Tenaya Way Ste 208, Las Vegas, NV 89128-0453 | 2013-09-10 |
| 1316389455 | James Kenneth Hedges | Obstetrics & Gynecology | 805 Noahs Star St, Las Vegas, NV 89145-8609 | 2013-07-17 |
| 1477896702 | Philip Gordon Mclemore Jr. | Obstetrics & Gynecology | 6850 North Durango Drive #401, Las Vegas, NV 89149 | 2013-04-04 |
| 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.