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BRADY CORD FACKRELL PA-C
NPI 1366306565
Physician Assistant in Las Vegas, NV

Active since December 11, 2025
4785 S DURANGO DR STE 101, LAS VEGAS, NV 89147(702) 889-8444 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brady Cord Fackrell Pa-c NPPES

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

BRADY CORD FACKRELL PA-C (NPI 1366306565) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA3351) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1366306565
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRADY CORD FACKRELLCredential: PA-C
Location Address4785 S DURANGO DR STE 101Las Vegas, NV 89147-8167
Mailing Address4785 S Durango Dr Ste 101Las Vegas, NV 89147-8167
Phone(702) 889-8444
Sole ProprietorNo
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1366306565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NV · PA3351
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4785 S DURANGO DR STE 101, Las Vegas, NV 89147
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Other Providers at the Same Location NPPES 5

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

JEAN-PIERRE PETREL II PA-C
Physician Assistant
4785 S DURANGO DR STE 101
LAS VEGAS, NV 89147
Clark County (702) 901-4233
EMILY JUNE STEWART PA
Physician Assistant (Medical)
4785 S DURANGO DR STE 101
LAS VEGAS, NV 89147
Clark County (702) 889-8444
TERESA M BAKER PA-C
Physician Assistant
4785 S DURANGO DR STE 101
LAS VEGAS, NV 89147
Clark County (702) 889-8444
WEE CARE PEDIATRICS
Pediatrics
4785 S DURANGO DR STE 101
LAS VEGAS, NV 89147
Clark County (702) 889-8444
MRS. MELANIE BAINBRIDGE APRN
Nurse Practitioner (Psychiatric/Mental Health)
4785 S DURANGO DR STE 101
LAS VEGAS, NV 89147
Clark County (702) 889-8444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brady Fackrell's NPI number?

The NPI number for Brady Fackrell is 1366306565. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Brady Fackrell located?

Brady Fackrell practices at 4785 S Durango Dr Ste 101, Las Vegas, NV 89147. The listed phone number is (702) 889-8444.

What is Brady Fackrell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Brady Fackrell was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.