What is Broderick Staves's NPI number?

Broderick Staves's National Provider Identifier (NPI) is 1255063863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Broderick Staves's specialty?

Broderick Staves is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).

Where is Broderick Staves located?

Broderick Staves's practice location on file with NPPES is 410 S Rampart Blvd Ste 390, Las Vegas, NV 89145-5749.

What is Broderick Staves's phone number?

The practice phone number listed in the NPPES registry for Broderick Staves is (702) 751-0356.

Is Broderick Staves's NPI active?

Yes — Broderick Staves's NPI (1255063863) is active in the NPPES registry as of the last update on 2022-06-30.

IndividualActive

Broderick Staves

NPI 1255063863 · Personal Care Attendant · Las Vegas, NV

Broderick Staves is a Personal Care Attendant provider in Las Vegas, NV (NPI 1255063863).

Provider details

NPI number: 1255063863
Entity type: Individual
Primary specialty: Personal Care AttendantNursing Service Related Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Personal Care AttendantPrimary3747P1801X
Nursing Service Related Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

410 S Rampart Blvd Ste 390

Las Vegas, NV 89145-5749

Phone: (702) 751-0356

Street-level locationGet directions

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Mailing address