Individual provider Active NPI

Brooke Uppal, DNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1043094881
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
296624 Issued in AZ
Practice address
11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6060
Phone
(602) 494-5155
Fax
(602) 494-5115
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 296624 AZ Primary

Addresses

Primary practice location

11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6060

Mailing address

11209 N Tatum Blvd Ste 180
Phoenix, AZ 85028-6060
Phone (602) 494-5155

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
I20231014000350 AZ Practitioner - Nurse Practitioner 8729433529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
296624AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Valley Family Medicine, PC CurrentSince Sep 5, 2023 Accepting new patients
Desert Valley Radiology, PLC PastSince Sep 5, 2023 Accepting new patients

Locations

11209 N Tatum Blvd
Ste 180
Phoenix, AZ 85028
Phone (602) 494-5155

Interoperability endpoints

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

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1043094881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286060",
            "telephone_number": "602-494-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286060",
            "telephone_number": "602-494-5155",
            "fax_number": "602-494-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPAL",
        "first_name": "BROOKE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "296624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.