Active NPI
Brandon J Mackey, D.O.
- Clinical & Laboratory Dermatological Immunology Physician
- Peoria, AZ
National Provider Identifier
1477081149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical & Laboratory Dermatological Immunology Physician
- License
- 007843
- Practice address
- 9191 W Thunderbird Rd Ste D101
Peoria, AZ 85381 - Phone
- (623) 977-6700
- Fax
- (623) 977-6771
- NPI assigned
- May 25, 2017
- 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 |
|---|---|---|---|---|
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | 007843 | AZ | Primary |
Addresses
Primary practice location
9191 W Thunderbird Rd Ste D101
Peoria, AZ 85381
Mailing address
9191 W Thunderbird Rd Ste D101
Peoria, AZ 85381-4270
Phone (623) 977-6700
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
- Dermatology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9191 W Thunderbird Rd
Suite D101
Peoria, AZ 85381-4270
Phone (623) 977-6700
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.04 of 100
- Quality
- 98.09
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 50 |
| Removal of skin lesions | 1040 |
| Removal of skin cancer | 131 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 411 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vernon T Mackey, PC | Clinical & Laboratory Dermatological Immunology | Past | Accepting new patients |
Interoperability endpoints
- drbmackey@addermatology.emadirect.md
Organizations & group practices 2
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.
-
- Procedural Dermatology Physician
- Peoria, AZ
- NPI 1396959417
-
- Clinical & Laboratory Dermatological Immunology Physician
- Peoria, AZ
- NPI 1003204975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1477081149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9191 W THUNDERBIRD RD STE D101",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814270",
"telephone_number": "623-977-6700",
"fax_number": "623-977-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9191 W THUNDERBIRD RD STE D101",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85381",
"telephone_number": "623-977-6700",
"fax_number": "623-977-6771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "BRANDON",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-25",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "AZ",
"license": "007843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.