Jamie Brockman, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

14674 W Mountain View Blvd Ste 200
Surprise, AZ 85374-2708

Phone

(623) 544-6860

Fax

(623) 544-6861

NPI assigned

Oct 27, 2021

Last updated

Oct 27, 2021By the provider in NPPES

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

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Surprise Medical Consultants LLCGroup PAC ID 0446535967, 6 clinicians

Neena K Uppal MD PCGroup PAC ID 6406111947, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

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

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.

• Neena K Uppal MD PC

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1790973006
  Medicare reassignment Care Compare group
• Surprise Medical Consultants LLC

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1497293898
  Medicare reassignment Care Compare group
• Amardeep S Majhail MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Surprise, AZ
  • NPI 1558745380
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  Care Compare affiliation

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1053075820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14674 W MOUNTAIN VIEW BLVD STE 200",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742708",
            "telephone_number": "623-544-6860",
            "fax_number": "623-544-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14674 W MOUNTAIN VIEW BLVD STE 200",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742708",
            "telephone_number": "623-544-6860",
            "fax_number": "623-544-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "JAMIE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherise Brimmer, FNP
• Christine O Briones, PA
• Cami Leigh Bro
• Ashley Nichole Brock, FNP-BC
• Connor Gordan Brock
• Brookhaven Assisted Living, LLC
• Julia Brookman, M.D
• Allene Maxwell Brooks, LPC, LISAC
• Johanna M Brooks, PA-C
• Allison Brown

• Medical Physician Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.