1760607162 NPI number — LESLIE KAY BROWDER M.D.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760607162 NPI number — LESLIE KAY BROWDER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWDER
Provider First Name:
LESLIE
Provider Middle Name:
KAY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760607162
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 SHADOW LN STE 370
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89106-4159
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-693-6870
Provider Business Mailing Address Fax Number:
702-693-6899

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 SHADOW LN STE 370
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89106-4159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-693-6870
Provider Business Practice Location Address Fax Number:
702-693-6899
Provider Enumeration Date:
04/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  12359 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208C00000X , with the licence number: 12359 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 880330858 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 1760607162 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 880330858 . This is a "COMPMED" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 880330858 . This is a "AFFFILIATED HEALTH TRUST" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 880330858 . This is a "PACIFICARE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 880330858 . This is a "UNIVERSAL HEALTH NETWORK" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 880330858 . This is a "CIGNA" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 880330858 . This is a "HUMANA/CHOICE CARE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 880330858 . This is a "SIERRA HEALTH SERVICES" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 880330858 . This is a "GREAT WEST" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 880330858 . This is a "MEDIVERSAL" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 239529 . This is a "AHCCCS" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 880330858 . This is a "TEACHERS HEALTH TRUST" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: XPY206417 . This is a "MEDI-CAL" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 880330858 . This is a "ANTHEM BC/BS" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 880330858 . This is a "BEECH STREET" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




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