Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northern Nevada Medical LLC

Organization Internal Medicine Physician · NPI 1629767082

Northern Nevada Medical LLC is an Internal Medicine Physician in Fallon, Nevada. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 E Williams Ave
Fallon, NV 89406-3052
Phone: (602) 821-4517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1629767082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Brouwer — Owner · (602) 821-4517
NPI enumeratedMay 2, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address801 E Williams Ave, Fallon, NV 89406-3052

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