Individual provider Active NPI

Brett R Beloud, MD

  • Internal Medicine Physician
  • Glendale, AZ
National Provider Identifier
1417128208
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32229 Issued in AZ
Practice address
17218 N 72ND Dr
Suite 100
Glendale, AZ 85308-8580
Phone
(623) 334-8670
Fax
(623) 334-8675
NPI assigned
Mar 19, 2008
Last updated
May 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 32229 AZ
Internal Medicine Physician 207R00000X 32229 AZ Primary

Addresses

Primary practice location

17218 N 72ND Dr
Suite 100
Glendale, AZ 85308-8580

Mailing address

17218 N 72ND Dr
Suite 100
Glendale, AZ 85308-8580
Phone (623) 334-8670

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000334 AZ Practitioner - Internal MedicinePractitioner - General Surgery 0244306868 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceptional Physicians Group Arizona PLLCGroup PAC ID 0042605008, 12 clinicians

Practice addresses (Care Compare)

19060 N John Wayne Pkwy
Maricopa, AZ 85139-2923
Phone (469) 341-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Vista Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 10, 2023 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC Emergency Medicine CurrentSince Jun 24, 2024 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Apr 2, 2024 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince May 15, 2024 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Mar 7, 2025 Accepting new patients
Exceptional Physicians Group Eloy Hospital PLLC Emergency Medicine CurrentSince Oct 24, 2025 Accepting new patients
Usacs Emergency Medicine of Arizona, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Emergency Medical Solutions, LTD. Emergency Medicine Past Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients
Med 97 LLC Past Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

340 E Milligan Rd
Eloy, AZ 85131
Phone (436) 341-7800

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

5750 E Baseline Rd
Mesa, AZ 85206
Phone (602) 246-5797

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1417128208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17218 N 72ND DR",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088580",
            "telephone_number": "623-334-8670",
            "fax_number": "623-334-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17218 N 72ND DR",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088580",
            "telephone_number": "623-334-8670",
            "fax_number": "623-334-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELOUD",
        "first_name": "BRETT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "32229",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "32229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.