Individual provider Active NPI

Perry A. Brazel, PA-C

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1023327251
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
4744 Issued in AZ
Practice address
3815 E Bell Rd Ste 2100
Phoenix, AZ 85032-2134
Phone
(602) 726-8805
Fax
(602) 944-4147
NPI assigned
Oct 6, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 4744 AZ Primary

Addresses

Primary practice location

3815 E Bell Rd Ste 2100
Phoenix, AZ 85032-2134

Mailing address

3815 E Bell Rd Ste 2100
Phoenix, AZ 85032-2134
Phone (602) 726-8805

Other identifiers 1

IdentifierTypeStateIssuer
585848MedicaidAZ

Other names 1

  • Perry A. Nussbaum Former name

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
I20101227000685 AZ Practitioner - Physician Assistant 2264620798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

19646 N 27TH Ave
Phoenix, AZ 85027-4028

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4744AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince May 26, 2022 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Aug 1, 2021 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Honorhealth Ambulatory CurrentSince May 26, 2022 Accepting new patients
Honorhealth Ambulatory Surgical Past Accepting new patients

Locations

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

3645 S Rome St
Ste 116
Gilbert, AZ 85297
Phone (480) 278-8300

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

10230 W Happy Valley Pkwy
Ste 200
Peoria, AZ 85383
Phone (480) 882-7465

9179 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 439-2200

19646 N 27th Ave
Ste 407
Phoenix, AZ 85027
Phone (602) 786-0720

2525 W Greenway Rd
Ste 130
Phoenix, AZ 85023
Phone (602) 942-8000

3811 E Bell Rd
Ste 309
Phoenix, AZ 85032
Phone (480) 420-0749

3815 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (480) 454-7350

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

9250 N 3rd St
Ste 2035
Phoenix, AZ 85020
Phone (602) 786-0175

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

9965 N 95th St
Ste 105
Scottsdale, AZ 85258
Phone (480) 629-8390

Interoperability endpoints

  • Direct secure messaging: pbrazel18009@direct.honorhealth.com

Organizations & group practices 7

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

Hospital & facility affiliations 4

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": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023327251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 2100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322134",
            "telephone_number": "602-726-8805",
            "fax_number": "602-944-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 2100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322134",
            "telephone_number": "602-726-8805",
            "fax_number": "602-944-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZEL",
        "first_name": "PERRY",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "4744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "585848",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERRY",
            "last_name": "NUSSBAUM",
            "middle_name": "A.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.