BRIAN DUONG DOUGLAS (PA-C) – Pain Medicine (Anesthesiology) Physician, NPI 1578204657

BRIAN DUONG DOUGLAS (PA-C) is a healthcare provider. based in Reno, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2622 (NV). The NPI Number for BRIAN DUONG DOUGLAS (PA-C) is 1578204657

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN DUONG DOUGLAS (PA-C)
NPI
1578204657
Phone
(775) 689-5410
Address
605 SIERRA ROSE DR STE 4
Enumeration Date
5 April 2022
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7756895410
Graduation Year
2021 (5 years ago)
PAC ID
4587051180
Group Practice PAC ID
9638177058
Professional Enrollment ID
I20220429000696
Address ID
NV895112093RE605XXDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for BRIAN DUONG DOUGLAS (PA-C)

  • 605 SIERRA ROSE DR STE 4

    RENO, NV 895112093

    Phone: (775) 689-5410

    Fax: (775) 451-1713

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 111 Open Payments records for all available years, with a total value of $3,138.

Total Amount is formed as General ($3,138) + Research ($0) + Ownership ($0) = $3,138.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Medtronic, Inc. ($606).

Total Amount

$3,138

General + Research + Ownership

Payments

111

Total payment records

General Amount

$3,138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220429000696IPhysician AssistantNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638177058View full group profile
NameSpecialtyState
Nurse PractitionerNV
Pain ManagementNV
Nurse PractitionerNV
Physician AssistantNV
-NV
Physician AssistantNV
Nurse PractitionerNV
Interventional Pain Management, AnesthesiologyNV
Physical Therapist In Private PracticeNV
Anesthesiology, Pain ManagementNV

Reviews

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Frequently asked questions

What federal number belongs to BRIAN DUONG DOUGLAS (PA-C)?
The federal identifier for BRIAN DUONG DOUGLAS (PA-C) is NPI 1578204657.
Is BRIAN DUONG DOUGLAS (PA-C) currently active in the NPI registry?
CMS-published data lists BRIAN DUONG DOUGLAS (PA-C) as an active registrant.
Can you summarize BRIAN DUONG DOUGLAS (PA-C)'s specialty in plain language?
Clinically, the directory lists BRIAN DUONG DOUGLAS (PA-C) with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Does BRIAN DUONG DOUGLAS (PA-C) practice in Nevada?
You will see Reno, Nevada on file for BRIAN DUONG DOUGLAS (PA-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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