John J Brothwell, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

17361 Issued in AZ

Practice address

9856 W Villa Lindo Dr
Peoria, AZ 85383-1339

Phone

(623) 979-4341

NPI assigned

Jul 20, 2005

Last updated

May 1, 2015By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1225037310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9856 W VILLA LINDO DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831339",
            "telephone_number": "623-979-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9856 W VILLA LINDO DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831339",
            "telephone_number": "623-979-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHWELL",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "17361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kay Brooks, FNP-C
• Judith Amelia Brooks, RN
• Tausha J Brooks, APRN FNP-C
• Ann Marie Brophy, PHARM.D, RPH
• Brother and Sister LLC (Brother & Sister LLC)
• Desiree Dawn Brotsky, D.O.
• Jalaina Denae Brown-Gardner
• Ronnie Abush Brown-Woodhull, NP
• Amanda Brown
• Angela Brown, LMT

• Surgery Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.