| Bralliar Psychiatric Associates Professional Corporation | |
|
7930 W Sahara Ave Las Vegas NV 89117-1990 | |
| (702) 876-9330 | |
| (702) 876-9061 |
| Full Name | Bralliar Psychiatric Associates Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7930 W Sahara Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Richard J Bralliar (OWNER) |
| Authorized Official Contact | 7024066758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bralliar Psychiatric Associates Professional Corporation 7930 W Sahara Ave Las Vegas NV 89117-1990 Ph: (702) 876-9330 | Bralliar Psychiatric Associates Professional Corporation 7930 W Sahara Ave Las Vegas NV 89117-1990 Ph: (702) 876-9330 |
| NPI Number | 1588839203 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 06/26/2024 |
| Certification Date | 06/26/2024 |
| Medicare PECOS PAC ID | 6800327057 |
|---|---|
| Medicare Enrollment ID | O20240930001682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588839203 | NPI | - | NPPES |
| 1578520896 | Other | NV | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 815 (Nevada) | Primary |
| Provider Name | Richard J Bralliar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578520896 PECOS PAC ID: 0547428468 Enrollment ID: I20120223000747 |
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