Brent Paul Hansen, DO

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

4183 Issued in AZ

Practice address

6320 W Union Hills Dr Ste 1800
Glendale, AZ 85308-1372

Phone

(480) 420-0749

Fax

(480) 420-0732

NPI assigned

Jan 30, 2006

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Home Health of Phoenix Home health agency, Tempe, AZ, CCN 037433
• Assisteo Home Health Home health agency, Phoenix, AZ, CCN 037262
• Allura Home Health and Hospice LLC Home health agency, Glendale, AZ, CCN 037819
• Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brent.hansen.1@600.direct.athenahealth.com

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.

• VHS Outpatient Clinics, Inc.

  • Multi-Specialty Clinic/Center
  • Goodyear, AZ
  • NPI 1912979964
  Medicare reassignment Care Compare group NPD
• Paragon Physical Therapy and Rehab, LLC

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1538694104
  Care Compare group
• VHS Outpatient Clinics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1891302790
  NPD
• Advanced Orthopedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Salt Lake City, UT
  • NPI 1710019831
  NPD (past)
• Northwest Ohio Urgent Care Inc

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1710183520
  NPD (past)

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

• Allura Home Health and Hospice LLC

  • Home Health Agency
  • Glendale, AZ
  • NPI 1609513613
  Care Compare affiliation
• Azhomehealth LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1568639557
  Care Compare affiliation
• Healthy Living at Home - Arizona LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1437593159
  Care Compare affiliation
• VHS of Arrowhead, Inc

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1326022765
  Care Compare affiliation
• VHS of Arrowhead, Inc.

  • General Acute Care Hospital
  • Peoria, AZ
  • NPI 1801340781
  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1396716262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 1800",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081372",
            "telephone_number": "480-420-0749",
            "fax_number": "480-420-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 1800",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081372",
            "telephone_number": "480-420-0749",
            "fax_number": "480-420-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "BRENT",
        "middle_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "4183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "937732",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tess Hanen
• Hanger Prosthetics & Orthotics West Inc
• Matt Oscar Hanhila Jr., DDS MS
• Katherine Marie Hanlon
• Jacqoulene Hansberger, PSYD
• Christopher Steven Hansen, PA
• Cory Lynn Hansen
• Karin Hansen, RPH
• Helene Rene' Hanson, COTA/L
• Kathleen Renee Hanson, L.M.T.

• Adult Reconstructive Orthopaedic Surgery Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.

Verify at the official NPI Registry.