Individual provider Active NPI

Brandon Paige, PA-C

  • Surgical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1003365081
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
3126 N Civic Center PLZ
Scottsdale, AZ 85251-6912
Phone
(480) 874-2040
NPI assigned
Oct 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

3126 N Civic Center PLZ
Scottsdale, AZ 85251-6912

Mailing address

3126 N Civic Center PLZ
Scottsdale, AZ 85251-6912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021001877 AZ Practitioner - Physician Assistant 8527346725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians

Practice addresses (Care Compare)

2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 340-0201

Hospital & facility affiliations

  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Sports Medicine LLC CurrentSince Jun 13, 2022 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Nov 1, 2018 Accepting new patients
Modern Sports Medicine LLC CurrentSince Jun 13, 2022 Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 30, 2018 Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 30, 2018 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Nov 1, 2018 Accepting new patients
Arizona Advanced Surgery LLC CurrentSince Oct 1, 2025 Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients

Locations

750 S Ironwood Dr
Ste 102
Apache Junction, AZ 85120
Phone (480) 740-7426

5590 W Chandler Blvd
Ste 4
Chandler, AZ 85226
Phone (480) 786-4969

2945 S Dobson Rd
#2320N
Mesa, AZ 85202

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

3198 N Windsong Dr
Prescott Vly, AZ 86314
Phone (480) 596-1110

7242 E Osborn Rd
#520
Scottsdale, AZ 85251
Phone (602) 313-7772

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10450 E Riggs Rd
Ste 104
Sun Lakes, AZ 85248
Phone (612) 888-5224

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD/Endpoint/IGJBCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475280000000",
    "number": "1003365081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516912",
            "telephone_number": "480-874-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "BRANDON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-01",
        "last_updated": "2016-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.