Brenda Christine Pecotte de Gonzalez, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

009724 Issued in AZ

Practice address

437 Vista Ave
Page, AZ 86040

Phone

(928) 645-8123

NPI assigned

Jun 20, 2017

Last updated

Oct 20, 2022By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, AZ2 enrollments

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 2

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyonlands Community Health CareGroup PAC ID 4082509591, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Zion's Way Home Health Home health agency, Page, AZ, CCN 037290
• Page Hospital Hospital, Page, AZ, CCN 031304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brenda.pecottedegonzalez.p1@direct.canyonlands.nextgenshare.com

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.

• Canyonlands Community Health Care

  • Family Medicine Physician
  • Page, AZ
  • NPI 1609966860
  Medicare reassignment Care Compare group NPD
• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • San Tan Valley, AZ
  • NPI 1275889891
  Medicare reassignment NPD
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Medicare reassignment NPD
• Page Hospital

  • Critical Access Hospital
  • Page, AZ
  • NPI 1578515789
  Medicare reassignment NPD (past)
• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • Page, AZ
  • NPI 1316294242
  NPD
• Banner Hospital Based Physicians Arizona LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1780445171
  NPD
• Canyonlands Community Health Care

  dba Canyonlands Healthcare - Adams Chiropractic

  • Federally Qualified Health Center (FQHC)
  • Page, AZ
  • NPI 1457187981
  NPD
• Tallahassee Memorial Healthcare Inc

  dba TMH Physician Partners

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1366293102
  NPD
• Tallahassee Memorial Healthcare Inc

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1770647620
  NPD
• Canyonlands Community Health Care

  dba Canyonlands Healthcare Globe

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1417218876
  NPD (past)

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

• Page Hospital

  • Critical Access Hospital
  • Page, AZ
  • NPI 1578515789
  Care Compare affiliation
• Red Rock Healthcare, Inc.

  dba Zion's Way Home Health

  • Home Health Agency
  • St George, UT
  • NPI 1588930705
  Care Compare affiliation

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1083134241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1625",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860401625",
            "telephone_number": "928-645-8123",
            "fax_number": "928-645-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 VISTA AVE",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "86040",
            "telephone_number": "928-645-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECOTTE DE GONZALEZ",
        "first_name": "BRENDA",
        "middle_name": "CHRISTINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A18861",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "009724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "125.071309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Page Unified School District
• Page Unified School District #8
• Painted Hills Home Care, 501C3
• Painted Hills Homecare
• Sara Marie Paul, M.D.
• Allison Rae Peters, PA-C
• Jordan Peterson
• Bernadette Marie Pierson, OT
• Lorrie M Pierson
• Prescott Vamc

• Family Medicine Physician in Page, AZ
• Providers in Page, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.