Northern Nevada Medical LLC
NPI 1629767082 · Internal Medicine Physician · Fallon, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Nevada Medical LLC is a Internal Medicine Physician organization in Fallon, NV (NPI 1629767082).
Provider details
- NPI number
- 1629767082
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeff Brouwer, Owner(602) 821-4517
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
100% 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
Mailing address
Registry dates
- Enumerated
- 2023-05-02
- Last updated
- 2023-07-06
- Certified
- 2023-07-06
Frequently asked questions
- What is Northern Nevada Medical LLC's NPI number?
- Northern Nevada Medical LLC's National Provider Identifier (NPI) is 1629767082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Nevada Medical LLC?
- Northern Nevada Medical LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Northern Nevada Medical LLC located?
- Northern Nevada Medical LLC's practice location on file with NPPES is 801 E Williams Ave, Fallon, NV 89406-3052.
- What is Northern Nevada Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Northern Nevada Medical LLC is (602) 821-4517.
- Does Northern Nevada Medical LLC accept Medicare?
- Northern Nevada Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northern Nevada Medical LLC?
- The authorized official listed on Northern Nevada Medical LLC's NPPES record is Jeff Brouwer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Nevada Medical LLC's NPI active?
- Yes — Northern Nevada Medical LLC's NPI (1629767082) is active in the NPPES registry as of the last update on 2023-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.