MARK JAMES BROXTERMAN
NPI 1841583986
Rehabilitation Practitioner in Las Vegas, NV

Active since May 23, 2011
8107 CIMARRON MEADOWS WAY, LAS VEGAS, NV 89147(702) 429-2654(702) 221-4275 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark James Broxterman NPPES

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

MARK JAMES BROXTERMAN (NPI 1841583986) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1841583986
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMARK JAMES BROXTERMAN
Location Address8107 CIMARRON MEADOWS WAYLas Vegas, NV 89147-5055
Mailing Address8107 Cimarron Meadows WayLas Vegas, NV 89147-5055 · (702) 429-2654 · Fax (702) 221-4275
Fax(702) 221-4275
Sole ProprietorYes
Enumeration DateMay 23, 2011
Last NPPES UpdateJune 7, 2011
NPI 1841583986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

8107 CIMARRON MEADOWS WAY, Las Vegas, NV 89147

Other Identifiers 1

Medicaid9005051113NV

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
8107 CIMARRON MEADOWS WAY
LAS VEGAS, NV 89147

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 Mark Broxterman's NPI number?

The NPI number for Mark Broxterman is 1841583986. It was assigned to this individual provider in the NPPES registry on May 23, 2011.

Where is Mark Broxterman located?

Mark Broxterman practices at 8107 Cimarron Meadows Way, Las Vegas, NV 89147. The listed phone number is (702) 429-2654.

What is Mark Broxterman's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Mark Broxterman was last updated on June 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.