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

Brad William Hammon, DO

Individual provider Dermatology Physician · NPI 1114388204

Brad William Hammon, DO is a Dermatology in Reno, Nevada. Graduated from Rocky Vista University College of Osteopathic Med in 2016, 10 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
10
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
NV
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

640 W Moana Ln
Reno, NV 89509-4903
Phone: (775) 350-7831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3535 Olentangy River Rd, Columbus, OH 43214 — (614) 566-4882

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence DO2956 (NV)

Record details

NPI number1114388204
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 16, 2016
Last updated in NPPESJuly 20, 2021
Certification dateJune 9, 2021
Mailing address640 W Moana Ln, Reno, NV 89509-4903

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2016 (10 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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