Provider Demographics
NPI:1477514768
Name:BRIMHALL, DARIN BAUR (DO)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:BAUR
Last Name:BRIMHALL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3760 PECOS MCLEOD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-4200
Mailing Address - Country:US
Mailing Address - Phone:702-927-1923
Mailing Address - Fax:702-925-2352
Practice Address - Street 1:3760 PECOS MCLEOD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-4200
Practice Address - Country:US
Practice Address - Phone:702-927-1923
Practice Address - Fax:702-925-2352
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1015207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018436Medicaid
NVH43683Medicare UPIN
NV002018436Medicaid