Provider Demographics
NPI:1295923944
Name:D. B. BRIMHALL, LTD
Entity type:Organization
Organization Name:D. B. BRIMHALL, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIMHALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-616-1136
Mailing Address - Street 1:2780 W HORIZON RIDGE PKWY STE 30
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3995
Mailing Address - Country:US
Mailing Address - Phone:702-616-1136
Mailing Address - Fax:702-233-1135
Practice Address - Street 1:2780 W HORIZON RIDGE PKWY STE 30
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3995
Practice Address - Country:US
Practice Address - Phone:702-616-1136
Practice Address - Fax:702-233-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1015207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV39536Medicare PIN