Individual provider Active NPI

Brooke L Bastian, PA

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1225585649
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6536 Issued in AZ
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
275506MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170216001439 AZ Practitioner - Physician Assistant 0749563765 Reassigns benefits to 2 organizations

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
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

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

LicenseStateTypeSpecialty
6536AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Aug 17, 2020 Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Aug 17, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 17, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 17, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.