Organization Active NPI

Arizona Breathe Free Sinus & Allergy Centers

  • Otolaryngology Physician
  • Scottsdale, AZ
National Provider Identifier
1407476195
Registry record updated Dec 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ARIZONA BREATHE FREE SINUS & ALLERGY CENTERS
Practice address
9377 E Bell Rd Ste 207
Scottsdale, AZ 85260-1504
Phone
(805) 210-5491
Fax
(805) 842-2648
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2020

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

Authorized official

Name
Mrs. Alicia Brosius
Title
Administrator
Phone
(805) 210-5491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

9377 E Bell Rd Ste 207
Scottsdale, AZ 85260-1504

Mailing address

9377 E Bell Rd Ste 207
Scottsdale, AZ 85260-1504
Phone (480) 306-6739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201006000220 AZ Part B Supplier - Clinic/Group Practice 2961821285 Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

9377 E Bell Rd
Ste 207
Scottsdale, AZ 85260
Phone (480) 473-1901

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609027200000",
    "number": "1407476195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 207",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601504",
            "telephone_number": "480-306-6739",
            "fax_number": "480-550-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 207",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601504",
            "telephone_number": "805-210-5491",
            "fax_number": "805-842-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BREATHE FREE SINUS & ALLERGY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A",
        "authorized_official_last_name": "BROSIUS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-210-5491",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.