Individual provider Active NPI

Brent Michael Page, MD

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
National Provider Identifier
1013440544
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
63255 Issued in AZ
Practice address
3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536
Phone
(602) 840-0681
Fax
(602) 957-1570
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 63255 AZ Primary

Addresses

Primary practice location

3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536

Mailing address

3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536
Phone (602) 840-0681

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390
Phone (214) 648-8826

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819003394 AZ Practitioner - Physical Medicine and Rehabilitation 9931504552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Arizona College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan S Hott MD PLCGroup PAC ID 0244233542, 28 clinicians

Practice addresses (Care Compare)

3700 N 24TH St
Suite 210
Phoenix, AZ 85016-6536
Phone (602) 840-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan S. Hott, M.D., P.L.C. CurrentSince Dec 5, 2024 Accepting new patients
Desert Spine and Sports Physicians PLLC Physical Medicine & Rehabilitation CurrentSince Aug 1, 2021 Accepting new patients

Locations

3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425

3487 S Mercy Rd
Gilbert, AZ 85297
Phone (480) 222-5601

6634 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (602) 840-0681

13128 N 94th Dr
Ste 200
Peoria, AZ 85381
Phone (602) 840-0681

3700 N 24th St
Ste 210
Phoenix, AZ 85016
Phone (602) 840-0681

8670 E Shea Blvd
Ste 102
Scottsdale, AZ 85260
Phone (480) 585-5440

Networks

  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: bpage81180@direct.phhs.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1013440544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166536",
            "telephone_number": "602-840-0681",
            "fax_number": "602-957-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166536",
            "telephone_number": "602-840-0681",
            "fax_number": "602-957-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75390",
            "country_code": "US",
            "telephone_number": "214-648-8826",
            "fax_number": "214-648-9207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "BRENT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "63255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.