GREGORY BERNARD AMERSON MEDICAID PROVIDER NPI 1184991028

NPI Information

NPI: 1184991028
Provider Name: GREGORY BERNARD AMERSON, MEDICAID PROVIDER
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
4104 CAROL BAILEY AVE
NORTH LAS VEGAS, NV
ZIP 89081
Phone: (702) 503-5109
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Gregory Bernard Amerson, MEDICAID PROVIDER is a rehabilitation practitioner in North Las Vegas, NV. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Gregory Bernard Amerson, MEDICAID PROVIDER NPI is 1184991028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4104 CAROL BAILEY AVE
NORTH LAS VEGAS, NV
ZIP 89081-809
Phone: (702) 503-5109
Fax: (702) 503-5109

The enumeration date for this NPI number is 11/21/2011 and was last updated on 11/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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