Active NPI
Brent Michael Page, MD
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 63255
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan S. Hott, M.D., P.L.C. | Current | Accepting new patients | |
| Desert Spine and Sports Physicians PLLC | Physical Medicine & Rehabilitation | Current | 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
- 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.
-
- Neurological Surgery Physician
- Scottsdale, AZ
- NPI 1063451482
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1649411778
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.