MEDICARE: BRADLEY G MAURER

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	332B00000X	Durable Medical Equipment & Medical Supplies	NV20101789254	NV

General Provider Information

NPI Number	:	1588505374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY G MAURER

Provider Business Mailing Address
First Line	:	8040 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2526
Country	:	US
Telephone Number	:	702-386-9997
Fax Number	:	702-228-9996

Provider Business Practice Location Address
First Line	:	8040 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2526
Country	:	US
Telephone Number	:	702-386-9997
Fax Number	:	702-228-9996

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

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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Directions to “ BRADLEY G MAURER ” Practice Location

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