Individual provider Active NPI

Stephanie Briney, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1609003755
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R1679 Issued in AZ
Practice address
1300 N 12TH St
#605
Phoenix, AZ 85006-2848
Phone
(602) 239-4567
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R1679 AZ Primary

Addresses

Primary practice location

1300 N 12TH St
#605
Phoenix, AZ 85006-2848

Mailing address

1300 N 12TH St
#605
Phoenix, AZ 85006-2848

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
I20120906000120 AZ Practitioner - Family Practice 9133376692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mid West Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Primary Care Physicians LLC 45 clinicians

Practice addresses (Care Compare)

1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2850
Phone (602) 839-4567

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1679AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner -- University Primary Care Physicians LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

1300 N 12th St
Ste 608
Phoenix, AZ 85006
Phone (602) 254-5321

1300 N 12th St
Ste 605
Phoenix, AZ 85006
Phone (602) 239-4567

1300 N 12th St
Ste 500
Phoenix, AZ 85006
Phone (602) 839-2606

1300 N 12th St
Ste 605608
Phoenix, AZ 85006
Phone (602) 839-4567

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1609003755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "#605",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "#605",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062848",
            "telephone_number": "602-239-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINEY",
        "first_name": "STEPHANIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R1679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.