Individual provider Active NPI

Brandon J Mackey, D.O.

  • Clinical & Laboratory Dermatological Immunology Physician
  • Peoria, AZ
National Provider Identifier
1477081149
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X
License
007843 Issued in AZ
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

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626000891 AZ Practitioner - Dermatology 7618200155 Reassigns benefits to 1 organization

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 100Reported as group
Quality
98.09
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of skin lesions1040
Removal of skin cancer131
Removal or shaving of skin growth1-10
Skin biopsy411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon T Mackey, PC Clinical & Laboratory Dermatological Immunology PastSince May 17, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.