Desiree Dawn Brotsky, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

005718 Issued in AZ

Practice address

15396 N 83Rd Ave
Ste F100
Peoria, AZ 85381

Phone

(602) 595-9696

Fax

(602) 412-9123

NPI assigned

May 4, 2007

Sex

Female

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 1

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

Specialty

Obstetrics/Gynecology

Education

Kansas City College of Medicine and Surgery, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Pinnacle Women's Center LLCGroup PAC ID 2567707813, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: desiree.brotsky@az028.digichart.direct-ci.com

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.

• Pinnacle Women's Center LLC

  dba Desiree Brotsky, DO

  • Obstetrics & Gynecology Physician
  • Peoria, AZ
  • NPI 1881084838
  Medicare reassignment Care Compare group NPD
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  NPD (past)
• VHS of Arrowhead, Inc

  dba Abrazo Arrowhead Campus

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1326022765
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1043422777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10967",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853180967",
            "telephone_number": "602-595-9696",
            "fax_number": "623-412-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE",
            "address_2": "STE F100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "602-595-9696",
            "fax_number": "602-412-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTSKY",
        "first_name": "DESIREE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "005718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "632408",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Amelia Brooks, RN
• Tausha J Brooks, APRN FNP-C
• Ann Marie Brophy, PHARM.D, RPH
• Brother and Sister LLC (Brother & Sister LLC)
• John J Brothwell, MD
• Jalaina Denae Brown-Gardner
• Ronnie Abush Brown-Woodhull, NP
• Amanda Brown
• Angela Brown, LMT
• Austin Brown, MD

• Obstetrics & Gynecology Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.

Verify at the official NPI Registry.