Individual provider Active NPI

Brooks KV Hammond, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1336671692
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8866 Issued in AZ
Practice address
320 E McDowell Rd Ste 221a
Phoenix, AZ 85004-4516
Phone
(480) 618-6277
NPI assigned
Mar 28, 2017
Last updated
Mar 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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 8866 AZ Primary

Addresses

Primary practice location

320 E McDowell Rd Ste 221a
Phoenix, AZ 85004-4516

Mailing address

14606 E Larkspur Dr
Scottsdale, AZ 85259-2105
Phone (808) 990-0596

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
I20230323001577 AZ Practitioner - Physician Assistant 4981981800 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8866AZMDChild Mental Illness Respite Care

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Jun 1, 2015 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Apr 10, 2023 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Apr 10, 2023 Accepting new patients
Dispatchhealth-Arizona CurrentSince Oct 19, 2023 Accepting new patients
Monica Scheel MD LLC Past Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Past Accepting new patients
Ronald L Moy MD Inc Past Accepting new patients

Locations

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

4815 E Carefree Hwy
Ste 124
Cave Creek, AZ 85331
Phone (480) 626-0525

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

3850 W Greenway Rd
Ste 150
Phoenix, AZ 85053
Phone (480) 508-5777

3931 E Camelback Rd
Phoenix, AZ 85018
Phone (602) 687-7858

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491

8101 N 19th Ave
Ste A
Phoenix, AZ 85021
Phone (602) 845-4505

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

9745 W Bell Rd
Ste 105
Sun City, AZ 85351
Phone (623) 742-2999

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

5594 E 22nd St
Tucson, AZ 85711
Phone (520) 232-2047

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Interoperability endpoints

  • Direct secure messaging: brooks.hammondpac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 10

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1336671692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14606 E LARKSPUR DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592105",
            "telephone_number": "808-990-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E MCDOWELL RD STE 221A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044516",
            "telephone_number": "480-618-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "BROOKS",
        "middle_name": "KV",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.