NPIMap

Individual provider Active NPI

Randall Lee Brower, DPM

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
National Provider Identifier
1689654030
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
595 Issued in AZ
Practice address
2730 W Agua Fria Fwy
Suite 100
Phoenix, AZ 85027-7201
Phone
(623) 537-5600
Fax
(866) 939-2673
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 294 NM
Foot & Ankle Surgery Podiatrist 213ES0103X 595 AZ Primary

Addresses

Primary practice location

2730 W Agua Fria Fwy
Suite 100
Phoenix, AZ 85027-7201

Mailing address

3010 W Agua Fria Fwy
Suite 100
Phoenix, AZ 85027-3943
Phone (623) 474-3427

Other identifiers 2

IdentifierTypeStateIssuer
58759735MedicaidNM
P00303834OtherNMRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000486 AZ Practitioner - Podiatry 7911984000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allen Foot and Ankle Medicine and Surgery PLC 15 clinicians

Practice addresses (Care Compare)

2919 S Ellsworth Rd
Suite 124
Mesa, AZ 85212-2167
Phone (480) 907-7572

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue52
Removal of skin lesions1-10
Removal of nail tissue130
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294NMMDPodiatrist
595AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Foot and Ankle Medicine and Surgery PLC Podiatrist CurrentSince Jan 1, 2023 Accepting new patients
Allen Foot and Ankle Medicine and Surgery PLC Podiatrist CurrentSince Jan 1, 2023 Accepting new patients
DRB DME LLC Current Accepting new patients
Podiatry Matrix LLC Current Accepting new patients
Center for Orthopedic Research and Education, LLC Podiatrist Past Accepting new patients
Roswell Clinic Corp Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

13065 W McDowell Rd
Ste C101
Avondale, AZ 85392
Phone (623) 535-5629

100 S McClintock Dr
Ste 100
Chandler, AZ 85226
Phone (480) 633-3388

2919 S Ellsworth Rd
Ste 124
Mesa, AZ 85212
Phone (480) 633-7944

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1689654030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W AGUA FRIA FWY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273943",
            "telephone_number": "623-474-3427",
            "fax_number": "623-544-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 W AGUA FRIA FWY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850277201",
            "telephone_number": "623-537-5600",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWER",
        "first_name": "RANDALL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "294",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58759735",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00303834",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.