MEDICARE: BRIAN JAMES CARR MD

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	171000000X	Military Health Care Provider	23730	NE
2	207X00000X	Orthopaedic Surgery Physician	254960-1	NY
3	207X00000X	Orthopaedic Surgery Physician	16690	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225175524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN JAMES CARR MD

Provider Business Mailing Address
First Line	:	12009 VENTO FORTE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138
Country	:	US
Telephone Number	:	702-963-1231
Fax Number	:	702-302-4455

Provider Business Practice Location Address
First Line	:	9260 W SUNSET RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4903
Country	:	US
Telephone Number	:	702-963-1231
Fax Number	:	702-442-9309

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

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	03/07/2024

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Directions to “ BRIAN JAMES CARR MD” Practice Location

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