BRYCE TYLER NELSON (NPI# 1912243619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912243619 |
| Entity Type | Individual |
| Full Name | BRYCE TYLER NELSON |
| Credential | PA-C |
| Practice Address |
10561 Jeffreys St #230 Henderson NV 89052-4266 |
| Practice Telephone | 7025656565 |
| Practice Fax Number | 7029905255 |
| Mailing Telephone | 7025656565 |
| Mailing Fax Number | 7029905255 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1398 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740337690 | Bryce Allen Nelson | Pediatrics | 2305 N Parham Rd Ste 1, Richmond, VA 23229-3156 | 2007-01-04 |
| 1255749024 | Bryce Nelson | Occupational Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2014-07-24 |
| Street Address |
10561 JEFFREYS ST #230 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744082 | Henry A Banzon | Physical Therapist | 10561 Jeffreys St, Suite 200, Henderson, NV 89052-4179 | 2005-07-15 |
| 1386182970 | Joshua Nunezdelprado | Specialist/Technologist, Other | 10561 Jeffreys St, Ste 230, Henderson, NV 89052-4266 | 2017-02-03 |
| 1548706542 | Daisy Castro | Specialist/Technologist, Other | 10561 Jeffreys St, #230, Henderson, NV 89052-4266 | 2017-01-13 |
| 1649655515 | Parkway Surgery Center, LLC | Clinic/Center | 10561 Jeffreys St, Suite 130, Henderson, NV 89052-4266 | 2015-07-21 |
| 1235521709 | Keshia Ricamona | Specialist/Technologist, Other | 10561 Jeffreys St, Ste 230, Henderson, NV 89052-4266 | 2015-02-20 |
| 1053722702 | Troy S. Mcarthur | Podiatrist | 10561 Jeffreys St, Suite 110, Henderson, NV 89052-4266 | 2014-05-15 |
| 1003238908 | Gabriel Garma | Specialist/Technologist, Other | 10561 Jeffreys St, Ste 230, Henderson, NV 89052-4266 | 2014-01-10 |
| 1255676961 | Grayce Lee Malavasic | Specialist/Technologist, Other | 10561 Jeffreys St, Ste 230, Henderson, NV 89052-4266 | 2012-12-06 |
| 1639432511 | Marisa L Calderon | Counselor | 10561 Jeffreys St, #230, Henderson, NV 89052-4266 | 2012-06-16 |
| 1235496050 | Shiny A Moolakatt | Physical Therapist | 10561 Jeffreys St, Suite 200, Henderson, NV 89052-4266 | 2012-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598148538 | Filbert John Aquino | Physician Assistant | 921 Twilight Peak Ave., Suite 110, Henderson, NV 89012-3187 | 2015-07-08 |
| 1215131495 | Harvey P Smith Jr. | Physician Assistant | 6301 Mountain Vista St Ste 204, Henderson, NV 89014-2366 | 2007-06-12 |
| 1255373338 | Ruston Bray | Physician Assistant | 612 N High St Ste A, Henderson, TX 75652-5914 | 2006-06-12 |
| 1487045936 | Jason A Zarn | Physician Assistant | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074-8195 | 2015-02-05 |
| 1194159350 | Nicole Louise Watson | Physician Assistant | 10652 S Eastern Ave Ste A, Henderson, NV 89052-4953 | 2013-08-23 |
| 1952351272 | William David Kelley | Physician Assistant | 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391 | 2006-05-10 |
| 1972560175 | Daniel Kreun | Physician Assistant | 861 Coronado Center Dr, Suite 200, Henderson, NV 89052-3992 | 2006-05-01 |
| 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 |
| 1275923278 | Bradley Ryan Duncan | Physician Assistant | 645 Angela St, Fernley, NV 89408-8321 | 2015-01-28 |
| 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 |
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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.