BURN AND RECONSTRUCTIVE CENTERS OF NEVADA, LLC
NPI 1073087680
Specialist in Las Vegas, NV

Q: What is Burn And Reconstructive Centers Of Nevada, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 16, 2019

3186 S MARYLAND PKWY, LAS VEGAS, NV 89109(706) 863-9595(706) 868-8375 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2022, Oct 5, 2022, May 18, 2021 and 3 more (6 updates tracked since 2019).

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About Burn And Reconstructive Centers Of Nevada, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURN AND RECONSTRUCTIVE CENTERS OF NEVADA, LLC (NPI 1073087680) is a healthcare organization registered as a specialist in Las Vegas, Nevada and active in the NPI registry since January 2019. The organization lists Shawn Fagan, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1073087680

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameBURN AND RECONSTRUCTIVE CENTERS OF NEVADA, LLC

Location Address3186 S MARYLAND PKWYLas Vegas, NV 89109-2317

Mailing AddressPo Box 12357Augusta, GA 30914-2357 · (706) 863-9595 · Fax (706) 868-8375

Phone(706) 863-9595

Fax(706) 868-8375

Organization SubpartNo

Authorized OfficialShawn FaganOwner/md · (706) 863-9595

Enumeration DateJanuary 16, 2019

Last NPPES UpdateOctober 11, 20226 updates tracked since enumeration

NPPES CertifiedOctober 11, 2022

✔ NPI 1073087680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3186 S MARYLAND PKWY, Las Vegas, NV 89109

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIOLOGY SPECIALISTS, LTD.

Radiology (Vascular & Interventional Radiology)