Tara Nicole Brzezinski

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10615 Issued in AZ

Practice address

1100 N San Francisco St Ste B
Flagstaff, AZ 86001-3260

Phone

(928) 779-7851

Fax

(928) 213-9990

NPI assigned

Jan 9, 2023

Last updated

Jul 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4

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.

• Genesis OB GYN PLLC

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
  • NPI 1992994214
  Medicare reassignment Care Compare group NPD
• Planned Parenthood Arizona

  • Obstetrics & Gynecology Physician
  • Flagstaff, AZ
  • NPI 1033364898
  NPD
• Camelback Womens Health, PC

  dba Camelback Women's Health

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1447378518
  NPD (past)
• Planned Parenthood Arizona

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1083694160
  NPD (past)
• Planned Parenthood of the Pacific Southwest

  • Community Health Clinic/Center
  • San Diego, CA
  • NPI 1427081652
  NPD (past)

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1124732623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81064",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441810064",
            "telephone_number": "520-795-8080",
            "fax_number": "520-323-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N SAN FRANCISCO ST STE B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013260",
            "telephone_number": "928-779-7851",
            "fax_number": "928-213-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZEZINSKI",
        "first_name": "TARA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Louisa Brubaker, PA
• Rodger William Brubaker, PHARMACIST
• Chelsea Marie Brumbaugh, NP-C
• Ciara Brooke Brumbaugh
• Krystle Brunker, APRN
• Anna Jean Buchanan, LMT
• Cindy Bucher, PT
• Samantha Ann Buchika, MD
• Emily Buczkowski, DPT
• Elizabeth Budge, MA, LAC

• Physician Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.

Verify at the official NPI Registry.