DR. BRIAN J MCCORMACK (NPI# 1932107471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932107471 |
| Entity Type | Individual |
| Full Name | DR. BRIAN J MCCORMACK |
| Credential | MD |
| Practice Address |
21 Locust St Reno NV 89502-1316 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759825000 |
| Practice Fax Number | 7759823900 |
| Mailing Telephone | (775) 982-5262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2017-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4977 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | RAILROAD MEDICARE | P00330270 | 01 |
| CAQH | 11041133 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699138578 | Brian Kenneth Mccormack | Social Worker | 1133 Broadway, Suite 540, New York, NY 10010 | 2016-03-30 |
| 1619110996 | Brian Mccormack | Dentist | 2500 Nesconset Hwy Bldg 18a, Stony Brook, NY 11790-2563 | 2009-04-15 |
| Street Address |
21 LOCUST ST |
| City | RENO |
| State | NV |
| Zip Code | 89502-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174189526 | Laura Dykins | Nurse Practitioner | 21 Locust St, Reno, NV 89502-1316 | 2019-05-11 |
| 1730649419 | Megan Anne Pailing | Nurse Practitioner | 21 Locust St, Reno, NV 89502-1316 | 2019-03-20 |
| 1518423185 | Hailey Ann Beekman | Physician Assistant | 21 Locust St, Reno, NV 89502-1316 | 2019-02-19 |
| 1780155309 | Community Care Services LLC | Internal Medicine | 21 Locust St, Reno, NV 89502-1316 | 2018-12-07 |
| 1447794722 | Liane Darval | Pharmacist | 21 Locust St, Reno, NV 89502-1316 | 2016-12-06 |
| 1972967818 | Caroline Na | Family Medicine | 21 Locust St, Reno, NV 89502-1316 | 2016-04-06 |
| 1891160107 | Becky Saltenberger | Pharmacist | 21 Locust St, Reno, NV 89502-1316 | 2015-12-11 |
| 1134596471 | Rachel Fisher | Pharmacist | 21 Locust St, Reno, NV 89502-1316 | 2015-08-21 |
| 1932517299 | Renown Health | General Acute Care Hospital | 21 Locust St, Reno, NV 89502-1316 | 2014-07-30 |
| 1306265723 | Michael Poulin | Registered Nurse | 21 Locust St, Reno, NV 89502-1316 | 2014-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303762 | Chelsey Marie Miller | Family Medicine | 197 Damonte Ranch Pkwy, Reno, NV 89521-1908 | 2020-10-14 |
| 1568079804 | Natalie Irene Bernard | Family Medicine | 7610 Tamra Dr, Reno, NV 89506-6731 | 2020-09-30 |
| 1669089983 | Helena Class-alexander Arpn LLC | Family Medicine | 1905 California Ave, Reno, NV 89509-2369 | 2020-09-30 |
| 1427609247 | Lindsey A Butcher | Family Medicine | 1905 Horse Prairie Rd, Reno, NV 89521-4361 | 2019-09-23 |
| 1821641937 | Alm Family Practice | Family Medicine | 1895 Plumas St Ste 6, Reno, NV 89509-3384 | 2019-07-17 |
| 1790236180 | Medtrans Reno Casal, Pllc | Family Medicine | 890 Mill St Fl 4, Reno, NV 89502 | 2016-10-20 |
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1760843668 | Karen Thiele | Family Medicine | Brigham Bldg 316unsom, Reno, NV 89557-0169 | 2016-03-19 |
| 1538586417 | Katelyn Bruner | Family Medicine | Renown Medical Group Caughlin, 4796 Caughlin Pkwy #108, Reno, NV 89519-0907 | 2014-03-28 |
| 1023372349 | Alejandro De La Parra Landa | Family Medicine | 1664 N Virginia Street Ms 316 Brigham Bldg, Reno, NV 89557-0001 | 2012-07-02 |
| Find all providers in RENO | ||||
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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.