Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian J. Daly, MSPA-C

Individual provider Physician Assistant · NPI 1487725644

Brian J. Daly, MSPA-C is a Physician Assistant in Reno, Nevada. Qualified in 1997, 29 years ago. Practices with Icco LLC, a 133-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
29
Licensed in
NV
In the registry since
2006
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Practice location Address checks out

18653 Wedge Pkwy Ste 300
Reno, NV 89511-3007
Phone: (775) 770-7210
Fax: (775) 770-7211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 530 (NV)

Record details

NPI number1487725644
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPA-C
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address18653 Wedge Pkwy Ste 300, Reno, NV 89511-3007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Reno