Active NPI
M.B Best Medical Group, Inc
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1124416375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5961
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5691 | Other | AZ | ARIZONA MEDICAL BOARD |
National Provider Directory
National Provider Directory- Tax ID family
- Medical Group of Texas PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physiological Laboratory
- Allen, TX
- NPI 1275134199
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.