Brenda Moorthy DO PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4264 Issued in AZ

Legal business name

BRENDA MOORTHY DO PLLC

Doing business as

Comprehensive Breast Surgery

Practice address

9179 W Thunderbird Rd
Ste 101
Peoria, AZ 85381-4912

Phone

(602) 374-3440

Fax

(602) 374-3441

NPI assigned

Nov 11, 2010

Last updated

Feb 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

S Brenda Moorthy, D.O.

Title

Owner

Phone

(602) 374-3440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Comprehensive Breast Surgery Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sivakami Brenda Moorthy, DO

  • Surgical Oncology Physician
  • Glendale, AZ
  • NPI 1124019575
  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1427359165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N 16TH ST",
            "address_2": "STE B232",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163990",
            "telephone_number": "602-374-3440",
            "fax_number": "602-374-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 W THUNDERBIRD RD",
            "address_2": "STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814912",
            "telephone_number": "602-374-3440",
            "fax_number": "602-374-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA MOORTHY DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "MOORTHY",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-374-3440",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "4264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "573751",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Breast Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Joseph Branson
• Ryan Edward Brase, LPC
• Caridad Bravo-Fernandez, MD
• Brea Peoria, LLC (Brookdale Union Hills)
• Breastnet Screening LLC
• Brenda Salguero
• Ashley Rene Brening, PHARMD
• Aubrie Brennard, MS, LASAC
• Brent R Hall DDS PC
• Brentom, LLC, (SHARKKS Therapy)

• Specialist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.