BRIAN EDWARD GRACE PA NPI 1487746459

NPI Information

  • NPI: 1487746459
  • Provider Name: BRIAN EDWARD GRACE, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 5188 BLISSFUL VALLEY CIR
    LAS VEGAS, NV
    ZIP 89149
  • Phone: (702) 373-9929

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NPI Details

Brian Edward Grace, PA is a surgical physician assistant in Las Vegas, NV. Brian Edward Grace, PA NPI is 1487746459. 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:

5188 BLISSFUL VALLEY CIR
LAS VEGAS, NV
ZIP 89149-262
Phone: (702) 373-9929
Fax: (800) 886-2862

The enumeration date for this NPI number is 9/28/2006 and was last updated on 12/11/2018.

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
1363AS0400XPhysician AssistantSurgicalPA727NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1002402144MEDICAIDNEVADA
2731645266OTHERNEVADATIN #

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: 11/21/2025

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