Individual provider Active NPI

Debra I Bro

  • Advanced Practice Midwife
  • San Tan Valley, AZ
National Provider Identifier
1083203756
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
36375 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7334
Phone
(480) 987-5500
NPI assigned
Jan 15, 2021
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

36375 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7334

Mailing address

2851 E Ridgewood LN
Gilbert, AZ 85298-5715
Phone (920) 960-4545

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210524000141 AZ Practitioner - Certified Nurse Midwife (CNM) 1254730385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hera Health Medical Group - Az PLLCGroup PAC ID 8729458864, 6 clinicians

Practice addresses (Care Compare)

2222 E Highland Ave
Suite 210
Phoenix, AZ 85016-4876
Phone (480) 866-8787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Hera Health Medical Group - Az PLLC CurrentSince Jun 15, 2023 Accepting new patients
Banner Ironwood Medical Center Past Accepting new patients

Locations

2222 E Highland Ave
Ste 210
Phoenix, AZ 85016
Phone (480) 661-1332

36375 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
Phone (480) 987-5500

Interoperability endpoints

  • Direct secure messaging: debra.bro.1@27149.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7947/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1083203756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 E RIDGEWOOD LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852985715",
            "telephone_number": "920-960-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36375 N GANTZEL RD STE 103",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407334",
            "telephone_number": "480-987-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRO",
        "first_name": "DEBRA",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.