Individual provider Active NPI

Nathan M Brooks, MD

  • Family Medicine Physician
  • Overgaard, AZ
National Provider Identifier
1093763377
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34307 Issued in AZ
Practice address
2352 Quarter Horse TRL
Overgaard, AZ 85933-5319
Phone
(928) 535-3616
Fax
(928) 532-2156
NPI assigned
May 5, 2006
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34307 AZ Primary

Addresses

Primary practice location

2352 Quarter Horse TRL
Overgaard, AZ 85933-5319

Mailing address

12075 E State Route 69
Dewey, AZ 86327-4517
Phone (928) 772-1673

Other practice location 1

12075 E State Route 69
Dewey, AZ 86327-4517
Phone (928) 772-1673

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000708 AZ Practitioner - Family PracticePractitioner - Critical Care (Intensivists) 3375564834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Critical Care (Intensivists)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4951 S White Mountain Rd
BLDG a
Show Low, AZ 85901-7801
Phone (928) 537-6700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Medical Associates CurrentSince Oct 1, 2023 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Jul 30, 2021 Accepting new patients
Summit Healthcare Association Current Accepting new patients
Summit Healthcare Medical Associates Family Medicine Current Accepting new patients
North Country Healthcare, Inc. Family Medicine Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Jul 30, 2021 Accepting new patients
San Tan Urgent Health Care Center Past Accepting new patients
Trans4Med, PLLC Past Accepting new patients
San Tan Urgent Care Health Center Past Accepting new patients

Locations

2585 Miracle Mile
Ste 116
Bullhead City, AZ 86442
Phone (928) 704-1221

1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300

1501 S Yale St
Ste 252
Flagstaff, AZ 86001
Phone (928) 774-1811

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100

2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800

126 E Main St
Ste B
Payson, AZ 85541
Phone (928) 468-8610

2650 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4240

2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300

4951 S White Mountain Rd
Bldg A
Show Low, AZ 85901
Phone (928) 532-3926

488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127

300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Interoperability endpoints

  • Direct secure messaging: nathanbrooks@shrmcshma.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Summit Healthcare Family Medicine at Bison RanchOvergaard, AZ, CCN 033840 Rural health clinic Corporate Director Dec 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1093763377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12075 E STATE ROUTE 69",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863274517",
            "telephone_number": "928-772-1673",
            "fax_number": "928-772-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 QUARTER HORSE TRL",
            "city": "OVERGAARD",
            "state": "AZ",
            "postal_code": "859335319",
            "telephone_number": "928-535-3616",
            "fax_number": "928-532-2156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12075 E State Route 69",
            "address_purpose": "LOCATION",
            "city": "Dewey",
            "state": "AZ",
            "postal_code": "863274517",
            "country_code": "US",
            "telephone_number": "928-772-1673",
            "fax_number": "928-772-1674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "NATHAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overgaard, AZ

Sources for this page

Verify at the official NPI Registry.