Active NPI
Brent R Allan, DO
- Family Medicine Physician
- Paradise Valley, AZ
National Provider Identifier
1528226438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1935
- Practice address
- 5547 E Sanna St
Paradise Valley, AZ 85253-1622 - Phone
- (602) 703-1244
- Fax
- (480) 443-0087
- NPI assigned
- May 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1935 | AZ | Primary |
Addresses
Primary practice location
5547 E Sanna St
Paradise Valley, AZ 85253-1622
Mailing address
5547 E Sanna St
Paradise Valley, AZ 85253-1622
Phone (602) 703-1244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1935 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1528226438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5547 E SANNA ST",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852531622",
"telephone_number": "602-703-1244",
"fax_number": "480-443-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5547 E SANNA ST",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852531622",
"telephone_number": "602-703-1244",
"fax_number": "480-443-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLAN",
"first_name": "BRENT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "1935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.