Organization Active NPI

Brigham Anesthesia Specialists LTD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1295790384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
9138 Issued in AZ
Legal business name
BRIGHAM ANESTHESIA SPECIALISTS LTD
Practice address
1111 E McDowell Road
Banner Good Samaritan Regional Medical Center
Phoenix, AZ 85006
Phone
(602) 239-2147
Fax
(602) 239-2581
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry Thomas Salts, MDNPI 1437114519
Title
President
Phone
(602) 882-2106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 9138 AZ Primary

Addresses

Primary practice location

1111 E McDowell Road
Banner Good Samaritan Regional Medical Center
Phoenix, AZ 85006

Mailing address

PO Box 15151
Phoenix, AZ 85060-5151
Phone (602) 882-2106

Other identifiers 1

IdentifierTypeStateIssuer
227050OtherAZAHCCCS

National Provider Directory

National Provider Directory

Locations

5555 W Thunderbird Rd
#B
Glendale, AZ 85306
Phone (602) 588-5475

6036 N 19th Ave
Phoenix, AZ 85015
Phone (602) 246-2079

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295790384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15151",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850605151",
            "telephone_number": "602-882-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL ROAD",
            "address_2": "BANNER GOOD SAMARITAN REGIONAL MEDICAL CENTER",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "602-239-2147",
            "fax_number": "602-239-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM ANESTHESIA SPECIALISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALTS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-882-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "9138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "227050",
            "state": "AZ"
        }
    ],
    "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 Aug 22, 2020; 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.