Nathan M Brooks, MD
Individual provider Active NPI Family Medicine Physician · Overgaard, AZ
NPI 1093763377 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1093763377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34307 (AZ)
- Practice address
- 2352 Quarter Horse TRL
Overgaard, AZ 85933-5319 - Phone
- (928) 535-3616
- Fax
- (928) 532-2156
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Healthcare Medical Associates
Practice addresses (Care Compare)
4951 S White Mountain Rd
BLDG a
Show Low, AZ 85901-7801
Phone (928) 537-6700
Hospital & facility affiliations
- Summit Healthcare Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Summit Healthcare Family Medicine at Bison Ranch |
Rural health clinic | Corporate Director | Dec 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051212000708 | AZ | Practitioner - Family Practice |
3375564834 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34307 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Healthcare Association | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| North Country Healthcare, Inc. | Current |
Accepting new patients | |
| Summit Healthcare Medical Associates | Current |
Accepting new patients | |
| Summit Healthcare Medical Associates | Family Medicine | Current | Accepting new patients |
| North Country Healthcare, Inc. | Current |
Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| Summit Healthcare Association | Past | 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
1501 S Yale St
Ste 252
Flagstaff, AZ 86001
Phone (928) 774-1811
1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300
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) 472-3700
2650 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4240
4951 S White Mountain Rd
Bldg A
Show Low, AZ 85901
Phone (928) 537-6700
2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34307 | AZ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 976847 | Medicaid | AZ |
Other providers in Overgaard, AZ
- Jeffery Dean Andersen
- Aaron C Bornstein
- Changepoint Integrated Health
- Compass Medical Center Heber, PLLC
- Compassion Services Inc
- Tanya Marie Cooper
- Audrey Frances Cosper
All providers in Overgaard, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.