Individual provider Active NPI

Brett Groh, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1457644973
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4847 Issued in AZ
Practice address
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone
(602) 481-2348
NPI assigned
May 17, 2011
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4847 AZ Primary
Medical Physician Assistant 363AM0700X 21649 CA
Medical Physician Assistant 363AM0700X MA066902 PA
Medical Physician Assistant 363AM0700X 0010-15584 NC

Addresses

Primary practice location

1111 E McDowell Rd
Phoenix, AZ 85006-2612

Mailing address

543 W Myrtle Dr
Chandler, AZ 85248-4559
Phone (480) 335-2772

Other practice location 1

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone (888) 803-3370

Other practice location 2

333 1st St Ste A
San Francisco, CA 94105-2661
Phone (480) 335-2772

Other practice location 3

9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (480) 335-2772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, PA, CA, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110907001058 AZ Practitioner - Physician Assistant 7719157460 Reassigns benefits to 7 organizations
I20250923000059 PA Practitioner - Physician Assistant 7719157460 Reassigns benefits to 1 organization
I20251103002151 CA Practitioner - Physician Assistant 7719157460 Reassigns benefits to 1 organization
I20251112003066 NC Practitioner - Physician Assistant 7719157460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (852) 335-0531

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8108

3050 Halstead Blvd Ext
Room 2 147
Elizabeth City, NC 27909-4994
Phone (330) 492-4443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4847AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care of California CurrentSince Aug 22, 2025 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Physician Assistant CurrentSince Jun 14, 2011 Accepting new patients
Usacs Integrated Acute Care Services of North Carolina, PLLC CurrentSince Sep 16, 2025 Accepting new patients
Good Health Medical, PLLC CurrentSince Feb 25, 2025 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC CurrentSince Jun 14, 2011 Accepting new patients
Circle Medical Care Group PA CurrentSince Oct 24, 2025 Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
St Lukes Medical Center LP Past Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Past Accepting new patients

Locations

3546 S Power Rd
Ste 101
Gilbert, AZ 85234

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

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 455-7444

9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376

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

415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

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 2

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1457644973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 W MYRTLE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484559",
            "telephone_number": "480-335-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-481-2348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N Tryon St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282020213",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "480-335-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 N 91st St Ste A115",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585036",
            "country_code": "US",
            "telephone_number": "480-335-2772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROH",
        "first_name": "BRETT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4847",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "21649",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA066902",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-15584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.