Individual provider Active NPI

Suzette Fink Bryan, MD

  • Diagnostic Radiology Physician
  • Cave Creek, AZ
National Provider Identifier
1356554539
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
52030 Issued in AZ
Practice address
28416 N 52ND PL
Cave Creek, AZ 85331-3419
Phone
(402) 671-8300
NPI assigned
May 7, 2007
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25734 NE
Emergency Medicine Physician 207P00000X 2009-01236 NC
Diagnostic Radiology Physician 2085R0202X MD171297 OR
Diagnostic Radiology Physician 2085R0202X 52030 AZ Primary

Addresses

Primary practice location

28416 N 52ND PL
Cave Creek, AZ 85331-3419

Mailing address

28416 N 52ND PL
Cave Creek, AZ 85331-3419
Phone (402) 671-8300

Other identifiers 2

IdentifierTypeStateIssuer
470376604-12MedicaidNE
1356554539MedicaidIA

Other names 1

  • Dr. Suzette Fink Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ, IA, NY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090827000399 NC Practitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 2961557905 Reassigns benefits to 2 organizations
I20160608002482 AZ Practitioner - Diagnostic Radiology 2961557905 Reassigns benefits to 2 organizations
I20190716003720 IA Practitioner - Diagnostic Radiology 2961557905 Reassigns benefits to 1 organization
I20240905003598 NY Practitioner - Diagnostic Radiology 2961557905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000

11913 Grey Partridge Dr
Charlotte, NC 28278-0084
Phone (516) 405-7080

1220 Hicksville Rd
Seaford, NY 11783-1604
Phone (516) 266-3456

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
332620NYMDLicensed Practical Nurse
2009-01236NCMDEmergency Medicine Physician
52030AZMDDiagnostic Radiology Physician
MD171297ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jul 15, 2022 Accepting new patients
Yrmc Hospice CurrentSince Dec 10, 2016 Accepting new patients
Yavapai Pathology Associates PLC Current Accepting new patients
Yavapai Community Hospital Association CurrentSince Dec 10, 2016 Accepting new patients
Yavapai Community Hospital Association Current Accepting new patients
Emergency Medicine Physicians of Gaston County, PLLC Emergency Medicine Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

810 Whipple St
Prescott, AZ 86301
Phone (928) 771-7577

7700 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 442-8657

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747

1501 N Campbell Ave
#245575
Tucson, AZ 85724

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sbryan68530@northwell.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1356554539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28416 N 52ND PL",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313419",
            "telephone_number": "402-671-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28416 N 52ND PL",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313419",
            "telephone_number": "402-671-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK BRYAN",
        "first_name": "SUZETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "25734",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2009-01236",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD171297",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "52030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470376604-12",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356554539",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZETTE",
            "last_name": "FINK",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cave Creek, AZ

Sources for this page

Verify at the official NPI Registry.