Active NPI
Stacy Brodrick, M.D.
- Emergency Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 28450
- Practice address
- 350 N Wilmot Rd
Tucson, AZ 85711-2602 - Phone
- (520) 872-7130
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 28450 | AZ | Primary |
Addresses
Primary practice location
350 N Wilmot Rd
Tucson, AZ 85711-2602
Mailing address
2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522715 | Medicaid | AZ |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100407000216 | AZ | Practitioner - Emergency Medicine | 9234265869 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Southern California Keck School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sound Physicians Emergency Medicine of Arizona Inc
Practice addresses (Care Compare)
1171 W Target Range Rd
Nogales, AZ 85621-2415
Phone (520) 287-2771
Hospital & facility affiliations
- Tucson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Emergency Medicine of Arizona, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Room Associates | Past | Accepting new patients |
Locations
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
5755 S Houghton Rd
Tucson, AZ 85747
Phone (520) 324-1727
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.
-
- Emergency Medicine Physician
- Sierra Vista, AZ
- NPI 1700328663
AZ, Emergency Medicine
-
- Physician Assistant
- Tucson, AZ
- NPI 1457576068
Hospital & facility affiliations 1
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": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1013917954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N FORBES BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451412",
"telephone_number": "520-872-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112602",
"telephone_number": "520-872-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODRICK",
"first_name": "STACY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "28450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522715",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.