Mackinley Spencer Burrell, CP

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CP004467 Issued in CA

Practice address

42212 N 41St Dr Ste 105
Anthem, AZ 85086-3815

Phone

(623) 352-4520

Fax

(833) 680-2415

NPI assigned

Aug 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roadrunner Prosthetics Inc.

  • Prosthetic/Orthotic Supplier
  • Anthem, AZ
  • NPI 1285330696

  Prosthetist

  NPD Authorized official
• Southern California Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Santa Ana, CA
  • NPI 1639404015

  Prosthetist

  NPD
• Saint Crispin'S Orthopedic

  • Prosthetic/Orthotic Supplier
  • Norwalk, CA
  • NPI 1114971520
  NPD (past)

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1376217141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42212 N 41ST DR STE 105",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863815",
            "telephone_number": "623-352-4520",
            "fax_number": "833-680-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42212 N 41ST DR STE 105",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863815",
            "telephone_number": "623-352-4520",
            "fax_number": "833-680-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "MACKINLEY",
        "middle_name": "SPENCER",
        "credential": "CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "CP004467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mac.b93@gmail.com",
            "affiliation": "N",
            "address_1": "1801 Park Court Pl Bldg B",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927015002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mac.burrell@rrprosthetics.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "42212 N 41st Dr Ste 105",
            "city": "Anthem",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850863815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooks Health Care Systems, Inc.
• Torrance A. Brooks, D.C.
• Linda Brown, D.O.
• Sochilt Brown, B.S.
• Elizabeth Ann Bryant, APRN-RNP
• Erik Cabral, PT
• Dena Cabrera, PSYD
• Leanne Calder
• Julie Caldwell, MS LMFT
• Calvo Naturopathic Healthcare

• Prosthetist in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Prosthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.