NPIMap

Individual provider Active NPI

Ronald D Brooksher, MD

  • Plastic and Reconstructive Surgery Physician
  • Yuma, AZ
National Provider Identifier
1487727814
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
20396 Issued in AZ
Practice address
1951 W 25TH Street Suite D
Yuma, AZ 85364
Phone
(928) 344-6263
Fax
(928) 317-0544
NPI assigned
Nov 15, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 20396 AZ
Plastic and Reconstructive Surgery Physician 2086S0122X 20396 AZ Primary

Addresses

Primary practice location

1951 W 25TH Street Suite D
Yuma, AZ 85364

Mailing address

1951 W 25TH Street Suite D
Yuma, AZ 85364
Phone (928) 344-6263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000329 AZ Practitioner - Plastic and Reconstructive Surgery 4587684956 Practice locations: Yuma, AZ

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
New York Medical College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1951 W 25TH St
Suite D
Yuma, AZ 85364-6924

1951 W 25TH St D
Yuma, AZ 85364-6924
Phone (520) 344-6263

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.81 of 100Reported as individual
Quality
81.52
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue4442
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20396AZMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Verde Healthcare LLC PastSince Oct 1, 2024 Accepting new patients
Gila Valley Medical Group LLC PastSince Sep 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ronaldbrookshermd.ronaldbrooksher@157245.advancedmd-direct.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southwestern Palliative Care and HospiceYuma, AZ, CCN 031669 Hospice Contracted Managing Employee Oct 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1487727814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 W 25TH STREET SUITE D",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-344-6263",
            "fax_number": "928-317-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W 25TH STREET SUITE D",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-344-6263",
            "fax_number": "928-317-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKSHER",
        "first_name": "RONALD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "AZ",
            "license": "20396",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "20396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.