Active NPI
John Brian Brizendine, MD
- Surgery Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 61144
- Practice address
- 20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901 - Phone
- (480) 707-9504
- Fax
- (602) 581-7764
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LL 25038 | SC | |
| Surgery Physician | 208600000X | 2008033381 | MO | |
| Surgery Physician | 208600000X | 61144 | AZ | Primary |
Addresses
Primary practice location
20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901
Mailing address
20333 N 19TH Ave Ste 230
Phoenix, AZ 85027-9901
Phone (480) 707-9504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457575813 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20333 N 19TH Ave
Suite 230
Phoenix, AZ 85027-9901
Phone (480) 707-9504
519 Rose LN
Wickenburg, AZ 85390-1448
Phone (928) 684-4365
523 Rose LN
Wickenburg, AZ 85390-1448
Hospital & facility affiliations
- Abrazo Arrowhead Hospital
- Honorhealth Deer Valley Medical Center
- Honorhealth Scottsdale Shea Medical Center
- Abrazo West Campus
- Wickenburg Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 13 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 217 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61144 | AZ | MD | Surgery Physician |
| LL 25038 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Unified Surgeons PLLC | Surgery | Current | Accepting new patients |
| John Fitzgibbon Memorial Hospital, Inc. | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital Inc | Current | Accepting new patients | |
| Community Hospital Association, Inc. | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital Inc. | Current | Accepting new patients | |
| John Fitzgibbon Memorial Hospital, Inc. | Surgery | Current | Accepting new patients |
Locations
20333 N 19th Ave
Ste 230
Phoenix, AZ 85027
Phone (480) 707-9504
520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197
523 Rose Ln
Wickenburg, AZ 85390
Phone (928) 668-1833
2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800
2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- Clinic/Center
- Marshall, MO
- NPI 1093731986
-
- General Acute Care Hospital
- Marshall, MO
- NPI 1730182478
-
- Clinic/Center
- Marshall, MO
- NPI 1437175320
-
- Surgery Physician
- Marshall, MO
- NPI 1710904347
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736035200000",
"number": "1457575813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20333 N 19TH AVE STE 230",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850279901",
"telephone_number": "480-707-9504",
"fax_number": "602-581-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20333 N 19TH AVE STE 230",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850279901",
"telephone_number": "480-707-9504",
"fax_number": "602-581-7764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIZENDINE",
"first_name": "JOHN",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2025-01-05",
"certification_date": "2025-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "LL 25038",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2008033381",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "61144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457575813",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; 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.