Organization Active NPI

M.B Best Medical Group, Inc

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1124416375
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5961 Issued in AZ
Legal business name
M.B BEST MEDICAL GROUP, INC
Practice address
8618 N 35TH Ave Ste 3
Phoenix, AZ 85051-3800
Phone
(602) 249-0999
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Jeff Brouwer
Title
Owner
Phone
(602) 249-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 5961 AZ Primary

Addresses

Primary practice location

8618 N 35TH Ave Ste 3
Phoenix, AZ 85051-3800

Mailing address

8618 N 35TH Ave Ste 3
Phoenix, AZ 85051-3800

Other practice location 1

6025 N 27th Ave Ste 7
Phoenix, AZ 85017-1764
Phone (602) 841-8273

Other identifiers 1

IdentifierTypeStateIssuer
5691OtherAZARIZONA MEDICAL BOARD

National Provider Directory

National Provider Directory
Tax ID family
Medical Group of Texas PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1124416375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 N 35TH AVE STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 N 35TH AVE STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513800",
            "telephone_number": "602-249-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6025 N 27th Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850171764",
            "country_code": "US",
            "telephone_number": "602-841-8273",
            "fax_number": "602-841-8773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M.B BEST MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2021-03-29",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "BROUWER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-249-0999"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "5691",
            "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 Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.