Douglas E Brinkerhoff, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1428 Issued in AZ

Practice address

223 Cibecue Circle Rd
San Carlos, AZ 85550-0208

Phone

(928) 475-7219

NPI assigned

Dec 22, 2005

Last updated

Nov 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Country Club Medical Group P C

  dba Southeast Valley Medical Group

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649256777
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1366428104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 CIBECUE CIRCLE RD",
            "city": "SAN CARLOS",
            "state": "AZ",
            "postal_code": "855500208",
            "telephone_number": "928-475-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 CIBECUE CIRCLE RD",
            "city": "SAN CARLOS",
            "state": "AZ",
            "postal_code": "855500208",
            "telephone_number": "928-475-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKERHOFF",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally A Aday, R.D.
• Kelly J Archambeau, RN
• Noah Argual
• Tara Lynn Argual, PHARMD
• Bruce M. Bilder, M.D.
• Polly Y Browning, LCSW
• Melinda Rose Cain, LMSW
• Wen-Te Ted Chen, D.O.
• Linda C Clark, RN, CDE
• Benjamin Joseph Cloud, PHARM D.

• Family Medicine Physician in San Carlos, AZ
• Providers in San Carlos, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.