Active NPI
Nathan M Brooks, MD
- Family Medicine Physician
- Overgaard, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34307
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Healthcare Medical Associates | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | 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. | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Summit Healthcare Family Medicine at Bison Ranch | 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.
-
dba Family Medicine at Bison Ranch
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
Corporate Director
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.
-
- Family Medicine Physician
- Show Low, AZ
- NPI 1467878108
-
- Urgent Care Clinic/Center
- Thatcher, AZ
- NPI 1174883623
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1073583472
-
- Multi-Specialty Clinic/Center
- Show Low, AZ
- NPI 1073740098
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1619345675
-
- Multi-Specialty Clinic/Center
- Williams, AZ
- NPI 1750691788
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
-
- Rural Health Clinic/Center
- Eagar, AZ
- NPI 1063166999
-
- Urgent Care Clinic/Center
- Queen Creek, AZ
- NPI 1972704757
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Summit Healthcare Oncology Center
- Oncology Clinic/Center
- Show Low, AZ
- NPI 1083736128
Hospital
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
-
dba Family Medicine at Bison Ranch
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.