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NPI Code Detail

MEDICARE: BRIAN ROBERT BEYER DO

MEDICARE: BRIAN ROBERT BEYER DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2390200000XStudent in an Organized Health Care Education/Training ProgramNM

General Provider Information

NPI Number : 1790589620
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN ROBERT BEYER DO
Provider Business Mailing Address
First Line : 6655 S CIMARRON RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2181
Country : US
Telephone Number : 702-853-3564
Fax Number :
Provider Business Practice Location Address
First Line : 6655 S CIMARRON RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2181
Country : US
Telephone Number : 702-853-3564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2025
Last Update Date : 04/07/2026

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