MEDICARE: DR. DARIN BAUR BRIMHALL D.O.

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	207R00000X	Internal Medicine Physician	1015	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	:	1477514768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARIN BAUR BRIMHALL D.O.

Provider Business Mailing Address
First Line	:	3760 PECOS MCLEOD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-4200
Country	:	US
Telephone Number	:	702-927-1923
Fax Number	:	702-925-2352

Provider Business Practice Location Address
First Line	:	3760 PECOS MCLEOD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-4200
Country	:	US
Telephone Number	:	702-927-1923
Fax Number	:	702-925-2352

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	05/17/2012

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