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STEVEN LEGRAND MAYBERRY DO
NPI 1790436632
Student in an Organized Health Care Education/Training Program in North Nellis Afb, NV

Active since January 12, 2022
99TH MEDICAL GROUP, 4700 LAS VEGAS BLVD, NORTH NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2026, Nov 21, 2025, Sep 2, 2025 and 1 more (4 updates tracked since 2022).

About Steven Legrand Mayberry Do NPPES

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

STEVEN LEGRAND MAYBERRY DO (NPI 1790436632) is an individual student in an organized health care education/training program in North Nellis Afb, Nevada, licensed in Michigan (5101028896) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1790436632
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEVEN LEGRAND MAYBERRYCredential: DO
Location Address99TH MEDICAL GROUP, 4700 LAS VEGAS BLVDNorth Nellis Afb, NV 89191-6601
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2201
Phone(702) 653-2273
Sole ProprietorNo
Enumeration DateJanuary 12, 2022
Last NPPES UpdateMarch 16, 20264 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1790436632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 5101028896
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
99TH MEDICAL GROUP, North Nellis Afb, NV 89191
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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 Steven Mayberry's NPI number?

The NPI number for Steven Mayberry is 1790436632. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Steven Mayberry located?

Steven Mayberry practices at 99th Medical Group 4700 Las Vegas Blvd, North Nellis Afb, NV 89191. The listed phone number is (702) 653-2273.

What is Steven Mayberry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Steven Mayberry was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.