Arlo B Brakel, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

32307 Issued in AZ

Practice address

450 W Continental Rd
Green Valley, AZ 85622-3551

Phone

(520) 749-3509

Fax

(520) 749-3323

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1548239288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30575",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857510575",
            "telephone_number": "520-749-3509",
            "fax_number": "520-749-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W CONTINENTAL RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223551",
            "telephone_number": "520-749-3509",
            "fax_number": "520-749-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKEL",
        "first_name": "ARLO",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "32307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "844846",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Neurological Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.