MEDICARE: BRIAN ALLEN BEADLE

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1366718793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN ALLEN BEADLE

Provider Business Mailing Address
First Line	:	1608 HILLS OF RED DR UNIT 104
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8418
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2820 W CHARLESTON BLVD # C23
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1942
Country	:	US
Telephone Number	:	702-437-4673
Fax Number	:

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

Provider Enumeration Date	:	03/29/2012
Last Update Date	:	03/29/2012

Similar Medicare Providers

1699747741 — MR. CAMERON EDWARD SMITH PHYSICAL THERAPIST
Practice Location Address:

2820 W CHARLESTON BLVD STE 1
LAS VEGAS, NV
89102-1942

Practice Phone: 725-726-7847
Practice Fax: 725-726-7876

1386754893 — MS. AUDREY MARYANNE WHITE OTR/L
Practice Location Address:

2820 W CHARLESTON BLVD STE 1
LAS VEGAS, NV
89102-1942

Practice Phone: 725-726-7847
Practice Fax: 725-726-7876

1578634192 — KATHERINE ANN MOLDOVAN L.C.S.W.
Practice Location Address:

2820 W CHARLESTON BLVD , #C23
LAS VEGAS, NV
89102-1942

Practice Phone: 702-437-4673
Practice Fax: 702-438-4673

1437292059 — QUALITY NURSING LLC
Practice Location Address:

2820 W CHARLESTON BLVD # D-40
LAS VEGAS, NV
89102-1942

Practice Phone: 702-531-8933
Practice Fax:

1467580407 — QUALITY NURSING LLC
Practice Location Address:

2820 W CHARLESTON BLVD , #D-40
LAS VEGAS, NV
89102-1942

Practice Phone: 702-531-8933
Practice Fax: 702-453-0864

1396940557 — TERRY G PFAU D.O., H.M.D.
Practice Location Address:

2820 W CHARLESTON BLVD , STE 6
LAS VEGAS, NV
89102-1942

Practice Phone: 702-258-7860
Practice Fax: 702-258-5487

1780869602 — DEPENDABLE DIAGNOSTICS CENTER, INC.
Practice Location Address:

2820 W CHARLESTON BLVD , #B20
LAS VEGAS, NV
89102-1942

Practice Phone: 702-270-2224
Practice Fax:

Directions to “ BRIAN ALLEN BEADLE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.