Individual provider Active NPI

Brian S Page, DO

  • Pain Medicine (Anesthesiology) Physician
  • Glendale, AZ
National Provider Identifier
1245219336
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
3416 Issued in AZ
Practice address
20325 N. 51St Ave
BLD 8 Suite 160
Glendale, AZ 85308-4622
Phone
(623) 466-6350
Fax
(602) 358-8698
NPI assigned
Jan 17, 2006
Last updated
Apr 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 3416 AZ
Pain Medicine (Anesthesiology) Physician 207LP2900X 3416 AZ Primary

Addresses

Primary practice location

20325 N. 51St Ave
BLD 8 Suite 160
Glendale, AZ 85308-4622

Mailing address

20325 N. 51St Ave.
BLD 8 Suite 160
Glendale, AZ 85308-4622
Phone (623) 466-6350

Other identifiers 1

IdentifierTypeStateIssuer
461658MedicaidAZ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000749 AZ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 6608834577 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3416AZMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S Page DO LLC CurrentSince Oct 1, 2007 Accepting new patients
Brian S Page DO LLC Pain Medicine CurrentSince Oct 1, 2007 Accepting new patients
Brian S Page DO LLC Past Accepting new patients
Brian S Page DO LLC Past Accepting new patients
Brian S Page DO LLC Past Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Brian S Page DO LLC Anesthesiology Past Accepting new patients
Brian S Page DO LLC Past Accepting new patients
Brian S Page DO LLC Past Accepting new patients
Brian S Page DO LLC Past Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology Past Accepting new patients

Locations

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

3035 S Ellsworth Rd
Ste 135
Mesa, AZ 85212
Phone (623) 295-4906

2701 N 16th St
Ste 111
Phoenix, AZ 85006
Phone (480) 620-1687

3201 W Peoria Ave
Ste D804
Phoenix, AZ 85029
Phone (523) 295-4905

4140 N 108th Ave
Ste 134
Phoenix, AZ 85037
Phone (623) 295-4901

4425 E Agave Rd
Ste 152
Phoenix, AZ 85044
Phone (623) 295-4902

14811 W Bell Rd
Ste 103
Surprise, AZ 85374
Phone (623) 295-4910

6560 E Carondelet Dr
Bldg G
Tucson, AZ 85710
Phone (520) 318-5774

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1245219336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 N. 51ST AVE.",
            "address_2": "BLD 8 SUITE 160",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084622",
            "telephone_number": "623-466-6350",
            "fax_number": "602-358-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N. 51ST AVE",
            "address_2": "BLD 8 SUITE 160",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084622",
            "telephone_number": "623-466-6350",
            "fax_number": "602-358-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "3416",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "3416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "461658",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.