Active NPI
Brian Michael Wood, PA-C
- Physician Assistant
- Show Low, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9428
- Practice address
- 4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827 - Phone
- (928) 537-1605
- Fax
- (928) 537-9581
- NPI assigned
- Jul 30, 2022
- Last updated
- Apr 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9428 | AZ | Primary |
Addresses
Primary practice location
4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Mailing address
4951 S White Mountain Rd BLDG a
Show Low, AZ 85901-7827
Phone (928) 537-6700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4951 S White Mountain Rd
BLDG a
Show Low, AZ 85901-7801
Phone (928) 537-6700
5171 Cub Lake Rd
Show Low, AZ 85901-7888
Phone (928) 537-9944
590 S Main St
Snowflake, AZ 85937-5228
Phone (928) 536-7519
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Healthcare Medical Associates | Current | Accepting new patients | |
| Summit Healthcare Medical Associates | Current | Accepting new patients | |
| Summit Healthcare Medical Associates | Current | Accepting new patients | |
| Summit Healthcare Association | Past | Accepting new patients |
Locations
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
4951 S White Mountain Rd
Bldg A
Show Low, AZ 85901
Phone (928) 537-6700
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Show Low, AZ
- NPI 1467878108
-
- Rural Health Clinic/Center
- Eagar, AZ
- NPI 1063166999
-
- Rural Health Clinic/Center
- Snowflake, AZ
- NPI 1265188866
-
dba Family Medicine at Bison Ranch
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
-
dba Summit Healthcare Oncology Center
- Oncology Clinic/Center
- Show Low, AZ
- NPI 1083736128
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Summit Healthcare Oncology Center
- Oncology Clinic/Center
- Show Low, AZ
- NPI 1083736128
Hospital
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
-
dba Family Medicine at Bison Ranch
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1396471348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017827",
"telephone_number": "928-537-6700",
"fax_number": "925-537-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 S WHITE MOUNTAIN RD BLDG A",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017827",
"telephone_number": "928-537-1605",
"fax_number": "928-537-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "BRIAN",
"middle_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-30",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.