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

Mr. Brian William Stark Jr., PA-C

Individual provider Physician Assistant · NPI 1801078654

Mr. Brian William Stark Jr., PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2015, 11 years ago. Practices with Dallas County Hospital District, a 598-clinician group and accepts Medicare assignment. Licensed in Arizona and Nevada.

Years since qualifying
11
Licensed in
AZ, NV
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3196 S Maryland Pkwy Ste 425
Las Vegas, NV 89109-2318
Phone: (725) 205-0725
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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 PA1068 (NV)
Physician Assistant Taxonomy 363A00000X · Licence 5123 (AZ)

Record details

NPI number1801078654
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2007
Last updated in NPPESDecember 30, 2022
Certification dateDecember 30, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Dallas County Hospital District — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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