Individual provider Active NPI

Erich Raymond Brueschke, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1265740880
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215000789 AZ Practitioner - Physician Assistant 4981891066 Reassigns benefits to 2 organizations

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
Lafrontera Center IncGroup PAC ID 0648171330, 14 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
4736AZMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafrontera Center Inc CurrentSince Dec 13, 2022 Accepting new patients
Southeastern Arizona Behavioral Health Service, Inc CurrentSince Dec 13, 2022 Accepting new patients
Southeastern Arizona Behavioral Health Services, Inc. CurrentSince Dec 13, 2022 Accepting new patients
La Frontera Center, Inc. Current Accepting new patients
La Frontera Center, Inc. CurrentSince Dec 13, 2022 Accepting new patients
Lafrontera Center Inc. Past Accepting new patients
Lafrontera Center Inc. PastSince Jul 21, 2024 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. PastSince Mar 12, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.