Brinly J Crooks, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6650 Issued in AZ

Practice address

1701 E Thomas Rd
#A104
Phoenix, AZ 85016-7646

Phone

(480) 845-4445

Fax

(602) 277-9360

NPI assigned

Oct 16, 2012

Sex

Female

Sole proprietor

No

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 CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bcrooks545146@hisp.ehr.sutterhealth.org

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.

• Medicor Associates, Inc.

  • Interventional Cardiology Physician
  • Erie, PA
  • NPI 1215931266
  NPD (past)
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1134472194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E THOMAS RD",
            "address_2": "#A104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167646",
            "telephone_number": "480-845-4445",
            "fax_number": "602-277-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E THOMAS RD",
            "address_2": "#A104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167646",
            "telephone_number": "480-845-4445",
            "fax_number": "602-277-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKS",
        "first_name": "BRINLY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Dawn Crook, COTA
• Danielle Leigh Crooke, DNP, AGACNP-BC
• Anna Crooker
• Jenifer Crookes
• Chase Crookham, DO
• Charles P Crooks II, M.D.
• Matthew A Croppi, PA
• Annalit Crosby, BA, BHT
• Debra Crosby
• Jeffrey Wade Crosby, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.