Provider Demographics
NPI:1689841421
Name:RICHARDS, BRYSON GIBBS (MD)
Entity Type:Individual
Prefix:
First Name:BRYSON
Middle Name:GIBBS
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6020 S. RAINBOW BLVD
Mailing Address - Street 2:BLDG C
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118
Mailing Address - Country:US
Mailing Address - Phone:702-870-7070
Mailing Address - Fax:702-870-0068
Practice Address - Street 1:6020 S. RAINBOW BLVD
Practice Address - Street 2:BLDG C
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118
Practice Address - Country:US
Practice Address - Phone:702-870-7070
Practice Address - Fax:702-870-0068
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2014-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV15319208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery