Brendan P Girschek, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

67737 Issued in AZ

Practice address

350 N Switzer Canyon Dr
Flagstaff, AZ 86001-4826

Phone

(928) 779-0500

Fax

(602) 508-4830

NPI assigned

Jul 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 4

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barnet Dulaney Perkins Eye Center, PCGroup PAC ID 0749288298, 104 clinicians

Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brendan.girschek.p11@direct.avp.nextgenshare.com
• Direct secure messaging: brendan.girschek.p20@direct.avp.nextgenshare.com

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.

• Barnet Dulaney Perkins Eye Center, PC

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1376574707
  Medicare reassignment Care Compare group NPD
• Southwestern Eye Center LTD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1023063187
  Medicare reassignment Care Compare group NPD
• Barnet Dulaney Perkins Eye Center, PC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1043910078
  NPD
• Barnet Dulaney Perkins Eye Center, PC

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1851317861
  NPD
• Southwestern Eye Center, LTD

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
  • NPI 1558102608
  NPD
• Barnet Dulaney Perkins Eye Center, PC

  • Ophthalmology Physician
  • Cottonwood, AZ
  • NPI 1013952522
  NPD (past)
• Retinal Consultants of Arizona LTD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1700823051
  NPD (past)
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390

  Family Medicine

  NPD (past)
• Trinity Regional Medical Center

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1194915710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164963",
            "telephone_number": "602-955-1000",
            "fax_number": "602-231-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N SWITZER CANYON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014826",
            "telephone_number": "928-779-0500",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 E San Marnan Dr",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507025611",
            "country_code": "US",
            "telephone_number": "319-233-2020",
            "fax_number": "319-234-1939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 S Candy Ln",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264164",
            "country_code": "US",
            "telephone_number": "480-892-8400",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRSCHEK",
        "first_name": "BRENDAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "67737",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IA",
            "license": "MD-39182",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "67737",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "39182",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "44844",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME140484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3041625",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194915710",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "719270026",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145884",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gilmore, CRNA
• Lillian K Gilmore, R.N.
• Lynnette Caycee Gilmore, DPT
• Cory Matthew Gingold, PA
• Therese Ann Giorsetti, MA CCC SLP
• Jonathan S Gleeman, PHARMD
• Sandra Glick-Ridley, MSPT
• Nitza L Glick, PA-C
• Sarah Gloeckler
• Camille Fe Gloria

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.