BRIAN DUONG DOUGLAS PA-C
NPI 1578204657
Physician Assistant - Medical in Reno, NV

Q: What is Brian Douglas's NPI number?

The NPI number for Brian Douglas is 1578204657. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Brian Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Brian Douglas was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since April 05, 2022PECOS Enrolled

74.6/100

CMS Quality Rating

605 SIERRA ROSE DR STE 4, RENO, NV 89511(775) 451-1701(775) 451-1713 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2022, Aug 18, 2022, Apr 5, 2022 (3 updates tracked since 2022).

On this page

About Brian Duong Douglas Pa-c NPPES

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

BRIAN DUONG DOUGLAS PA-C (NPI 1578204657) is an individual medical provider in Reno, Nevada, licensed in Nevada (PA2622) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578204657

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameBRIAN DUONG DOUGLASCredential: PA-C

Location Address605 SIERRA ROSE DR STE 4Reno, NV 89511-2093

Mailing Address605 Sierra Rose Dr Ste 4Reno, NV 89511-2093 · (775) 689-5410 · Fax (775) 451-1713

Phone(775) 451-1701

Fax(775) 451-1713

Sole ProprietorNo

Enumeration DateApril 5, 2022

Last NPPES UpdateOctober 24, 20223 updates tracked since enumeration

NPPES CertifiedOctober 24, 2022

✔ NPI 1578204657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NV · PA2622

605 SIERRA ROSE DR STE 4, Reno, NV 89511

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Duong Douglas Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.53

Improvement Activities

Cost

47.12

Other Providers at the Same Location NPPES 8

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

HANNAH JACQUES APRN

Nurse Practitioner (Family)