Active NPI
Emily Ann Brooker, PA
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1850 N Central Ave Ste 1600
Phoenix, AZ 85004-4633 - Phone
- (602) 262-8900
- Fax
- (602) 262-8890
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1850 N Central Ave Ste 1600
Phoenix, AZ 85004-4633
Mailing address
1850 N Central Ave Ste 1600
Phoenix, AZ 85004-4633
Phone (602) 262-8900
Other practice location 1
9401 W Thunderbird Rd
Suite 180
Peoria, AZ 85381-4233
Phone (623) 516-8252
Other practice location 2
9401 W Thunderbird Rd
Suite 180
Peoria, AZ 85381-4233
Phone (623) 516-8252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 712417 | Medicaid | AZ |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- BHSM Rehabilitation LLC
Practice addresses (Care Compare)
16620 N 40TH St
Phoenix, AZ 85032-3350
Phone (480) 565-7246
25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386
Phone (602) 610-6866
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3485 | AZ | MD | Psychologist |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GECCDD/Endpoint/GECCDD
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Scottsdale, AZ
- NPI 1023844420
-
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
- NPI 1821447111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1114031457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 N CENTRAL AVE STE 1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044633",
"telephone_number": "602-262-8900",
"fax_number": "602-262-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 N CENTRAL AVE STE 1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044633",
"telephone_number": "602-262-8900",
"fax_number": "602-262-8890"
}
],
"practiceLocations": [
{
"address_1": "9401 W Thunderbird Rd",
"address_2": "Suite 180",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853814233",
"country_code": "US",
"telephone_number": "623-516-8252",
"fax_number": "623-516-8253",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9401 W Thunderbird Rd",
"address_2": "Suite 180",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853814233",
"country_code": "US",
"telephone_number": "623-516-8252",
"fax_number": "623-516-8253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKER",
"first_name": "EMILY",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "712417",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.