Healthcare Provider Details

I. General information

NPI: 1386581353
Provider Name (Legal Business Name): BRAUNSTEIN MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 W DESERT INN RD STE B
LAS VEGAS NV
89146-6609
US

IV. Provider business mailing address

6490 W DESERT INN RD STE B
LAS VEGAS NV
89146-6609
US

V. Phone/Fax

Practice location:
  • Phone: 725-285-8832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL C BRAUNSTEIN
Title or Position: MANAGER
Credential: MD
Phone: 725-285-8832