Individual provider Active NPI

Brian Daniel Espinoza, MD

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1568529683
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25475 Issued in AZ
Practice address
301 E Bethany Home Rd
Ste a-115
Phoenix, AZ 85012
Phone
(602) 264-5684
Fax
(844) 867-7214
NPI assigned
Jan 2, 2007
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25475 AZ Primary

Addresses

Primary practice location

301 E Bethany Home Rd
Ste a-115
Phoenix, AZ 85012

Mailing address

301 E Bethany Home Rd
Ste a-115
Phoenix, AZ 85012
Phone (602) 264-5684

Other identifiers 1

IdentifierTypeStateIssuer
696700MedicaidAZ

Other names 1

  • Dr. Brian D Espinoza Professional name

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
I20050928001335 AZ Practitioner - Psychiatry 0143262253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Michigan Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6350 S Maple Ave
Tempe, AZ 85283-2857
Phone (480) 345-5400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brian D Espinoza MD PC Psychiatry CurrentSince Jan 1, 2007 Accepting new patients
Brian D. Espinoza, M.D., P.C. Psychiatry Past Accepting new patients

Locations

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

301 E Bethany Home Rd
Ste A115
Phoenix, AZ 85012
Phone (602) 264-5684

7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500

6350 S Maple Ave
Tempe, AZ 85283
Phone (480) 345-5400

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1568529683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD",
            "address_2": "STE A-115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-264-5684",
            "fax_number": "844-867-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD",
            "address_2": "STE A-115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85012",
            "telephone_number": "602-264-5684",
            "fax_number": "844-867-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "BRIAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "25475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "696700",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "ESPINOZA",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.