Individual provider Active NPI

Brandon Liang, PA-C

  • Surgical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1235544453
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
7027 Issued in AZ
Practice address
7351 E Osborn Rd # 100
Scottsdale, AZ 85251-6451
Phone
(480) 882-7465
NPI assigned
Jun 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA031030 DC
Physician Assistant 363A00000X C0005411 MD
Surgical Physician Assistant 363AS0400X 0110-004630 VA
Surgical Physician Assistant 363AS0400X 7027 AZ Primary

Addresses

Primary practice location

7351 E Osborn Rd # 100
Scottsdale, AZ 85251-6451

Mailing address

7351 E Osborn Rd # 100
Scottsdale, AZ 85251-6451
Phone (480) 882-7465

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
I20180807002217 AZ Practitioner - Physician Assistant 3779831706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
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

19636 N 27TH Ave
Suite 306
Phoenix, AZ 85027-4019
Phone (623) 300-9100

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381

340 E Palm LN
Suite A175
Phoenix, AZ 85004-4603
Phone (602) 386-1100

7351 E Osborn Rd
Scottsdale, AZ 85251-6451

9250 N 3Rd St
Suite 2000
Phoenix, AZ 85020-2403
Phone (602) 861-1168

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7027AZMDDermatology Physician
PA031030DCMDPhysician Assistant
C0005411MDMDPhysician Assistant
0110-004630VAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Jan 3, 2022 Accepting new patients
Honorhealth Ambulatory Surgical CurrentSince Jan 3, 2022 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Aug 1, 2018 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Aug 1, 2018 Accepting new patients
Thompson Peak Family Care, PC PastSince Jun 4, 2023 Accepting new patients

Locations

6220 W Bell Rd
Ste 120
Glendale, AZ 85308
Phone (480) 587-6614

1441 N 12th St
Phoenix, AZ 85006
Phone (602) 495-4577

9250 N 3rd St
Ste 2000
Phoenix, AZ 85020
Phone (602) 246-9080

19636 N 27th Ave
Ste 306
Phoenix, AZ 85027
Phone (480) 882-7465

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

7351 E Osborn Rd
#100
Scottsdale, AZ 85251
Phone (480) 882-7465

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3660/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bliang447655@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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1235544453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 E OSBORN RD # 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516451",
            "telephone_number": "480-882-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 E OSBORN RD # 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516451",
            "telephone_number": "480-882-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "BRANDON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031030",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005411",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110-004630",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "7027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.