Individual provider Active NPI

Zachary Thomas Brown, MD

  • Family Medicine Physician
  • Mayer, AZ
National Provider Identifier
1669094173
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
70269 Issued in AZ
Practice address
20172 E Stagecoach TRL
Mayer, AZ 86333-2357
Phone
(928) 632-4399
NPI assigned
May 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 70269 AZ Primary

Addresses

Primary practice location

20172 E Stagecoach TRL
Mayer, AZ 86333-2357

Mailing address

43819 N 20TH St
New River, AZ 85087-0967
Phone (602) 910-0579

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
I20240326003379 AZ Practitioner - Family Practice 0042633323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carelock LLCGroup PAC ID 9436491172, 14 clinicians

Practice addresses (Care Compare)

12075 E State Route 69
Suite a
Dewey, AZ 86327-4517
Phone (928) 485-4142

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
82.35
Improvement activities
40
Cost
75.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carelock, LLC Single Specialty CurrentSince Feb 17, 2024 Accepting new patients
Carelock, LLC CurrentSince Feb 17, 2024 Accepting new patients

Locations

1934 N State Route 89
Chino Valley, AZ 86323
Phone (928) 404-1488

12075 E State Route 69
Ste A
Dewey, AZ 86327
Phone (928) 485-4142

14600 S Waterberry St
Unit A
Mayer, AZ 86333

14600 S Waterberry St
Mayer, AZ 86333
Phone (800) 725-0365

2920 E Mohawk Ln
Ste 101
Phoenix, AZ 85050
Phone (480) 681-3450

15029 N Thompson Peak Pkwy
Ste B111
Scottsdale, AZ 85260
Phone (480) 200-9035

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJGBD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1669094173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43819 N 20TH ST",
            "city": "NEW RIVER",
            "state": "AZ",
            "postal_code": "850870967",
            "telephone_number": "602-910-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20172 E STAGECOACH TRL",
            "city": "MAYER",
            "state": "AZ",
            "postal_code": "863332357",
            "telephone_number": "928-632-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "70269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayer, AZ

Sources for this page

Verify at the official NPI Registry.