Individual provider Active NPI

Brandy Ann Perko, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1437399011
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10397 Issued in AZ
Practice address
3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536
Phone
(602) 840-0681
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004185 MI
Medical Physician Assistant 363AM0700X 5601004185 MI
Physician Assistant 363A00000X 10397 AZ Primary

Addresses

Primary practice location

3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536

Mailing address

3700 N 24TH St Ste 210
Phoenix, AZ 85016-6536
Phone (602) 840-0681

Other practice location 1

1500 E Medical Center Drive
B1 floor University Hospital Recp C
Ann Arbor, MI 48109-5030
Phone (734) 936-4566

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114001415 AZ Practitioner - Physician Assistant 1153479316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan S Hott MD PLCGroup PAC ID 0244233542, 28 clinicians

Practice addresses (Care Compare)

13128 N 94TH Dr
Suite 200
Peoria, AZ 85381-4253
Phone (602) 840-0681

3700 N 24TH St
Suite 210
Phoenix, AZ 85016-6536
Phone (602) 840-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10397AZMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Spine and Sports Physicians PLLC PastSince Oct 1, 2020 Accepting new patients
River Oaks Urgent Care Family Medicine Pediatrics LLC PastSince Aug 14, 2018 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1437399011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166536",
            "telephone_number": "602-840-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N 24TH ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166536",
            "telephone_number": "602-840-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Medical Center Drive",
            "address_2": "B1 floor University Hospital Recp C",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095030",
            "country_code": "US",
            "telephone_number": "734-936-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKO",
        "first_name": "BRANDY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004185",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004185",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.