Active NPI
Brett Inghram Siegrist, MD
- Vascular Surgery Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35489
- Practice address
- 485 S Dobson Rd Ste 115
Chandler, AZ 85224-5600 - Phone
- (480) 210-8620
- Fax
- (480) 210-8622
- NPI assigned
- Sep 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 35489 | AZ | Primary |
Addresses
Primary practice location
485 S Dobson Rd Ste 115
Chandler, AZ 85224-5600
Mailing address
2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 258-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126178 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Georgetown University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 340-0201
2945 S Dobson Rd
Mesa, AZ 85202-7941
Phone (480) 969-4138
485 S Dobson Rd
Suite 115
Chandler, AZ 85224-5600
Phone (602) 277-7430
Hospital & facility affiliations
- Chandler Regional Medical Center
- Banner Desert Medical Center
- Mercy Gilbert Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.9 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 11 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35489 | AZ | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Advanced Surgery LLC | Surgery | Current | Accepting new patients |
| Sjhmc Physician Services | Past | Accepting new patients | |
| St. Joseph'S Hospital and Medical Center | Past | Accepting new patients |
Locations
485 S Dobson Rd
Ste 115
Chandler, AZ 85224
Phone (480) 245-4425
2945 S Dobson Rd
Mesa, AZ 85202
Phone (480) 699-2508
2945 S Dobson Rd
#2320N
Mesa, AZ 85202
3033 N Central Ave
Ste 610
Phoenix, AZ 85012
Phone (602) 266-1556
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262
6040 N 7th St
Ste 105
Phoenix, AZ 85014
Phone (602) 277-7430
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IGJBCD
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.
-
- Surgery Physician
- Phoenix, AZ
- NPI 1346880838
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
-
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1467555854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041303",
"telephone_number": "602-258-9900",
"fax_number": "602-258-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 S DOBSON RD STE 115",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245600",
"telephone_number": "480-210-8620",
"fax_number": "480-210-8622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGRIST",
"first_name": "BRETT",
"middle_name": "INGHRAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "35489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126178",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.