Brandon K Suedekum, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME93606 Issued in FL

Practice address

3815 E Bell Rd
Suite 2500
Phoenix, AZ 85032-2122

Phone

(602) 258-4321

Fax

(623) 889-2450

NPI assigned

May 18, 2006

Last updated

Jul 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Brandon Suedekum MD, PC

  dba Summit Eye Surgeons

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1487204442
  Medicare reassignment NPD Authorized official
• Cornea & Cataract Consultants of Arizona PC

  dba Cornea & Cataract Consultants of Arizona

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1780605808
  Medicare reassignment NPD
• Pain Centers Nationwide, PC

  • Physical Medicine & Rehabilitation Physician
  • Peoria, AZ
  • NPI 1053366989
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1033162581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD",
            "address_2": "SUITE 2500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322122",
            "telephone_number": "602-258-4321",
            "fax_number": "623-889-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD",
            "address_2": "SUITE 2500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322122",
            "telephone_number": "602-258-4321",
            "fax_number": "623-889-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEDEKUM",
        "first_name": "BRANDON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME93606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL STATE LICENSE",
            "identifier": "35451",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "111212",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hardhipriya Sudarsanam, MD
• Sudazona Medtrans LLC
• Gabriella Colette Sudhalter
• Sue's Place LLC (Sue's Place)
• Suebeck Lab Services, LLC
• Pashan Sueing, MASSAGE THERAPIST
• James H Suess, MD
• Kathryn Foryst Suess, FNP
• Susan Sugar, LCSW
• Tod Michael Sugihara, DO

• Ophthalmology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.