Active NPI
Brooke L Bastian, PA
- Physician Assistant
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6536
- Practice address
- 8415 N Pima Rd Ste 280
Scottsdale, AZ 85258-4488 - Phone
- (480) 245-4425
- Fax
- (480) 245-4426
- NPI assigned
- Sep 1, 2016
- Last updated
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6536 | AZ | Primary |
| Surgical Physician Assistant | 363AS0400X | 6536 | AZ |
Addresses
Primary practice location
8415 N Pima Rd Ste 280
Scottsdale, AZ 85258-4488
Mailing address
1663 W Commerce Ave
Gilbert, AZ 85233-4008
Phone (602) 502-1068
Other practice location 1
3615 S Rome St
Gilbert, AZ 85297-7335
Phone (480) 245-4425
Other practice location 2
655 S Dobson Rd Ste A105
Chandler, AZ 85224-5667
Phone (480) 245-4425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275506 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10510 N 92ND St
Scottsdale, AZ 85258-4566
19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000
9201 E Mountain View Rd
Scottsdale, AZ 85258-5140
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6536 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Center for Hematology and Oncology, PLC | Current | Accepting new patients | |
| Arizona Center for Hematology and Oncology, PLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients |
Locations
655 S Dobson Rd
Ste A105
Chandler, AZ 85224
Phone (480) 245-4425
3615 S Rome St
Gilbert, AZ 85297
Phone (480) 245-4425
14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873
10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
8415 N Pima Rd
Ste 280
Scottsdale, AZ 85258
Phone (480) 245-4425
9201 E Mountain View Rd
Ste 115
Scottsdale, AZ 85258
Phone (623) 300-9011
Interoperability endpoints
- bbastian157218@direct.honorhealth.com
Organizations & group practices 6
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.
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1841243722
-
- Surgery Physician
- Peoria, AZ
- NPI 1083007165
-
- Urology Physician
- Sun City West, AZ
- NPI 1356621247
-
- Cardiovascular Disease Physician
- Phoenix, AZ
- NPI 1649894890
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1225585649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1663 W COMMERCE AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852334008",
"telephone_number": "602-502-1068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 N PIMA RD STE 280",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584488",
"telephone_number": "480-245-4425",
"fax_number": "480-245-4426"
}
],
"practiceLocations": [
{
"address_1": "3615 S Rome St",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852977335",
"country_code": "US",
"telephone_number": "480-245-4425",
"fax_number": "480-245-4426",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 S Dobson Rd Ste A105",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852245667",
"country_code": "US",
"telephone_number": "480-245-4425",
"fax_number": "480-245-4426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASTIAN",
"first_name": "BROOKE",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6536",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "6536",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275506",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.