Individual provider Active NPI

Brandon A Hunter, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1376044248
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7421 Issued in AZ
Practice address
17300 N Perimeter Dr, Ste 150
Scottsdale, AZ 85255
Phone
(602) 734-1826
Fax
(602) 734-1835
NPI assigned
Feb 26, 2018
Last updated
Apr 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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 7421 AZ Primary

Addresses

Primary practice location

17300 N Perimeter Dr, Ste 150
Scottsdale, AZ 85255

Mailing address

17300 N Perimeter Dr, Ste 150
Scottsdale, AZ 85255
Phone (602) 734-1826

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
I20190410001146 AZ Practitioner - Physician Assistant 1557624665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian F Gruber MD LTDGroup PAC ID 5294046231, 8 clinicians

Practice addresses (Care Compare)

17300 N Perimeter Dr
Suite 150
Scottsdale, AZ 85255-6598
Phone (602) 734-1834

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7421AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanus DME LLC CurrentSince Apr 26, 2020 Accepting new patients
JMS Hand Associates, S.C. Past Accepting new patients

Locations

17300 N Perimeter Dr
Ste 150
Scottsdale, AZ 85255
Phone (602) 734-1826

Organizations & group practices 3

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": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1376044248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 N PERIMETER DR, STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "602-734-1826",
            "fax_number": "602-734-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 N PERIMETER DR, STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "602-734-1826",
            "fax_number": "602-734-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "BRANDON",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-26",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.