Healthcare Provider Details

I. General information

NPI: 1306357199
Provider Name (Legal Business Name): BRAUNSTEIN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2017
Last Update Date: 10/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 S PECOS RD STE 1A
LAS VEGAS NV
89120-1248
US

IV. Provider business mailing address

5130 S PECOS RD STE 1A
LAS VEGAS NV
89120-1248
US

V. Phone/Fax

Practice location:
  • Phone: 702-527-5501
  • Fax: 720-527-5502
Mailing address:
  • Phone: 702-527-5501
  • Fax: 702-527-5502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL C BRAUNSTEIN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 702-809-4200