Active NPI
Erich Raymond Brueschke, PA
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 903 N 2ND St
Phoenix, AZ 85004-1906 - Phone
- (602) 416-7600
- NPI assigned
- Sep 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
903 N 2ND St
Phoenix, AZ 85004-1906
Mailing address
24247 N 121St PL
Scottsdale, AZ 85255-5931
Phone (405) 834-2993
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 E Pennsylvania St
Tucson, AZ 85714-1675
Phone (520) 741-2351
1601 E Apache Park PL
Tucson, AZ 85714-1775
Phone (520) 742-0260
3620 N Mountain Ave
Tucson, AZ 85719-1938
Phone (520) 882-5145
4891 E Grant Rd
Tucson, AZ 85712-2704
Phone (520) 296-3296
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.74 of 100
- Quality
- 13.33
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 95.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4736 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafrontera Center Inc | Current | Accepting new patients | |
| Southeastern Arizona Behavioral Health Service, Inc | Current | Accepting new patients | |
| Southeastern Arizona Behavioral Health Services, Inc. | Current | Accepting new patients | |
| La Frontera Center, Inc. | Current | Accepting new patients | |
| La Frontera Center, Inc. | Current | Accepting new patients | |
| Lafrontera Center Inc. | Past | Accepting new patients | |
| Lafrontera Center Inc. | Past | Accepting new patients | |
| Abbe Center for Community Mental Health, Inc | Past | Accepting new patients | |
| Abbe Center for Community Mental Health, Inc | Past | Accepting new patients | |
| La Frontera Center, Inc. | Past | Accepting new patients |
Locations
590 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-6177
470 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-7080
611 W Union St
Benson, AZ 85602
Phone (520) 586-0800
1601 E Apache Park Pl
Tucson, AZ 85714
Phone (520) 742-0260
3620 N Mountain Ave
Tucson, AZ 85719
Phone (520) 838-3932
504 W 29th St
Tucson, AZ 85713
Phone (520) 838-5600
260 S Scott Ave
Tucson, AZ 85701
Phone (520) 884-8470
4891 E Grant Rd
Tucson, AZ 85712
Phone (520) 296-3296
502 W 29th St
Tucson, AZ 85713
Phone (520) 838-5600
1141 W Grant Rd
Ste 100
Tucson, AZ 85705
Phone (520) 206-8600
1210 E Pennsylvania St
Tucson, AZ 85714
Phone (520) 741-2351
1430 N Oracle Rd
Tucson, AZ 85705
Phone (520) 741-3120
Interoperability endpoints
- erichbrueschke@lfcenter.netsmartdirect.net
Organizations & group practices 11
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.
-
- Community/Behavioral Health Agency
- Benson, AZ
- NPI 1760830137
AZ
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1093810889
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1811098742
-
- Methadone Clinic
- Tucson, AZ
- NPI 1548361470
-
- Community/Behavioral Health Agency
- Douglas, AZ
- NPI 1932620390
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1932404225
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1023320751
-
- Psychiatric Hospital Unit
- Tucson, AZ
- NPI 1073614905
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cedar Rapids, IA
- NPI 1063586071
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cedar Rapids, IA
- NPI 1366299018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1265740880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24247 N 121ST PL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555931",
"telephone_number": "405-834-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 N 2ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041906",
"telephone_number": "602-416-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUESCHKE",
"first_name": "ERICH",
"middle_name": "RAYMOND",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-16",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.