Individual provider Active NPI

Kirk Matthew Brisnehan, D.O.

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1649596628
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
010741 Issued in AZ
Practice address
1455 W Chandler Blvd Ste 4
Chandler, AZ 85224-6177
Phone
(480) 899-2900
Fax
(833) 973-4362
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 010741 AZ Primary
Family Medicine Physician 207Q00000X OS12402 FL

Addresses

Primary practice location

1455 W Chandler Blvd Ste 4
Chandler, AZ 85224-6177

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

6501 E Greenway Pkwy Ste 160
Scottsdale, AZ 85254-2069
Phone (480) 948-9903

Other practice location 2

9590 E Ironwood Square Dr Ste 120
Scottsdale, AZ 85258-4598
Phone (480) 455-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GA, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190927000975 AZ Practitioner - Family Practice 2365753415 Reassigns benefits to 1 organization
I20211019003012 GA Practitioner - HospitalistPractitioner - Family Practice 2365753415 Reassigns benefits to 1 organization
I20220202002837 AL Practitioner - Family Practice 2365753415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9590 E Ironwood Square Dr
Suite 120
Scottsdale, AZ 85258-4598
Phone (702) 480-2550

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010741AZMDFamily Medicine Physician
2741ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince Jul 7, 2019 Accepting new patients
Hospital Medicine Associates LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Dec 1, 2025 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Dec 1, 2025 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

2001 N 4th St
Flagstaff, AZ 86004
Phone (928) 526-5020

21300 N John Wayne Pkwy
Ste 123
Maricopa, AZ 85139
Phone (520) 494-7778

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

9590 E Ironwood Square Dr
Ste 120
Scottsdale, AZ 85258
Phone (480) 455-3000

6501 E Greenway Pkwy
Ste 160
Scottsdale, AZ 85254
Phone (480) 365-6603

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1649596628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W CHANDLER BLVD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246177",
            "telephone_number": "480-899-2900",
            "fax_number": "833-973-4362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 E Greenway Pkwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852542069",
            "country_code": "US",
            "telephone_number": "480-948-9903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9590 E Ironwood Square Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584598",
            "country_code": "US",
            "telephone_number": "480-455-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISNEHAN",
        "first_name": "KIRK",
        "middle_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "010741",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.