MEDICARE: BRIAN MICHAEL BOUNDS APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	892982	NV

General Provider Information

NPI Number	:	1013885748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN MICHAEL BOUNDS APRN

Provider Business Mailing Address
First Line	:	5583 OAK BEND DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1226
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6125 W TROPICANA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-4699
Country	:	US
Telephone Number	:	702-701-8900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2025
Last Update Date	:	10/30/2025

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