Provider Demographics
NPI:1760607162
Name:BROWDER, LESLIE KAY (MD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:KAY
Last Name:BROWDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 N PECOS RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-4400
Mailing Address - Country:US
Mailing Address - Phone:702-791-9000
Mailing Address - Fax:
Practice Address - Street 1:6900 N PECOS RD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-4400
Practice Address - Country:US
Practice Address - Phone:702-791-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12359208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1760607162Medicaid
NV880330858OtherAFFFILIATED HEALTH TRUST
NV880330858OtherPACIFICARE
NV880330858OtherUNITED HEALTHCARE
NV880330858OtherGREAT WEST
NV880330858OtherMEDIVERSAL
NV880330858OtherANTHEM BC/BS
NV880330858OtherCIGNA
NV880330858OtherUNIVERSAL HEALTH NETWORK
NV239529OtherAHCCCS
NV880330858OtherTEACHERS HEALTH TRUST
NV880330858OtherSIERRA HEALTH SERVICES
NV880330858OtherHUMANA/CHOICE CARE
NV880330858OtherBEECH STREET
NV880330858OtherCOMPMED
NV1760607142Medicaid
NVXPY206417OtherMEDI-CAL