NPIMap

Individual provider Active NPI

Bryan S Lee, M.D.

  • Neurological Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1093071870
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
57982 Issued in AZ
Practice address
19636 N 27TH Ave Ste 203
Phoenix, AZ 85027-4022
Phone
(623) 562-5050
Fax
(623) 562-5051
NPI assigned
Apr 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 57982 AZ Primary

Addresses

Primary practice location

19636 N 27TH Ave Ste 203
Phoenix, AZ 85027-4022

Mailing address

2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434
Phone (623) 562-5050

Other practice location 1

33300 N 32nd Ave Ste 310
Phoenix, AZ 85085-8826
Phone (623) 562-5050

Other identifiers 1

IdentifierTypeStateIssuer
504576MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603000591 AZ Practitioner - Neurosurgery 8628362910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Loma Linda University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

2910 N 3Rd Ave
Suite 200
Phoenix, AZ 85013-4434
Phone (602) 406-3181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.9 of 100Reported as individual
Quality
69.6
Promoting interoperability
93
Improvement activities
40
Cost
75.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion689
Laminectomy or laminotomy (partial removal of spine bones)153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD Neurological Surgery CurrentSince Jul 1, 2019 Accepting new patients
Neurosurgical Associates, LTD Neurological Surgery CurrentSince Jul 1, 2019 Accepting new patients

Locations

19636 N 27th Ave
Ste 203
Phoenix, AZ 85027
Phone (623) 562-3730

33300 N 32nd Ave
Ste 310
Phoenix, AZ 85085
Phone (602) 406-3181

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

2910 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 406-3008

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

19841 N 27th Ave
Ste 304
Phoenix, AZ 85027
Phone (623) 434-2229

Interoperability endpoints

  • Direct secure messaging: bryan.lee.1@31799.direct.athenahealth.com

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1093071870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "623-562-5050",
            "fax_number": "623-562-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274022",
            "telephone_number": "623-562-5050",
            "fax_number": "623-562-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33300 N 32nd Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850858826",
            "country_code": "US",
            "telephone_number": "623-562-5050",
            "fax_number": "623-294-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRYAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "57982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504576",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.