Organization Active NPI

Arlo B Brakel MD LLC

  • Neurological Surgery Physician
  • Green Valley, AZ
National Provider Identifier
1245407428
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
32307 Issued in AZ
Legal business name
ARLO B BRAKEL MD LLC
Practice address
450 W Continental Rd Ste B
Green Valley, AZ 85622-3551
Phone
(520) 749-3509
Fax
(520) 749-3323
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Arlo Bruce Brakel, M.D.
Title
Owner/Physician
Phone
(520) 749-3509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 32307 AZ Primary

Addresses

Primary practice location

450 W Continental Rd Ste B
Green Valley, AZ 85622-3551

Mailing address

PO Box 30575
Tucson, AZ 85751-0575
Phone (520) 749-3509

National Provider Directory

National Provider Directory

Locations

450 W Continental Rd
Ste B
Green Valley, AZ 85622
Phone (520) 749-3509

445 N Silverbell Rd
Ste 20
Tucson, AZ 85745

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15347/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1245407428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30575",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857510575",
            "telephone_number": "520-749-3509",
            "fax_number": "520-749-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W CONTINENTAL RD STE B",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223551",
            "telephone_number": "520-749-3509",
            "fax_number": "520-749-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLO B BRAKEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "BRAKEL",
        "authorized_official_first_name": "ARLO",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "520-749-3509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "32307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.