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Ortho Sport and Spine Physicians Las Vegas

Physical Medicine & Rehabilitation Physician in Henderson, NV · enumerated 2021 · authorized official Ra'Keshia Brogdon, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629651096

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Registry record

Entity type Organization (Type 2)
Legal business name Ortho Sport and Spine Physicians Las Vegas
Practice address 2625 Wigwam Pkwy Ste 102, Henderson, NV, 89074
Phone (678) 752-7246
Fax (770) 234-5326
Enumeration date May 3, 2021
Last updated in NPPES Jun 1, 2023

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ra'Keshia Brogdon
Title Credentialing Specialist
Phone (404) 941-1233

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ortho Sport and Spine Physicians Las Vegas?
The NPI for Ortho Sport and Spine Physicians Las Vegas is 1629651096, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ortho Sport and Spine Physicians Las Vegas?
NPPES lists Ra'Keshia Brogdon (Credentialing Specialist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-01.