Brian Thomas Jensen, PA-C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5296 Issued in AZ

Practice address

501 W Van Buren St Ste T
Avondale, AZ 85323-1307

Phone

(623) 932-9905

Fax

(623) 932-6901

NPI assigned

Oct 23, 2012

Last updated

Feb 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

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.

• Westview Family Medicine, P.C.

  • Family Medicine Physician
  • Avondale, AZ
  • NPI 1922204155
  Medicare reassignment
• Sanjivan PLLC

  dba Avondale Medical Center

  • Family Medicine Physician
  • Avondale, AZ
  • NPI 1659415206
  NPD (past)

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1689927964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W VAN BUREN ST STE T",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231307",
            "telephone_number": "623-932-9905",
            "fax_number": "623-932-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W VAN BUREN ST STE T",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231307",
            "telephone_number": "623-932-9905",
            "fax_number": "623-932-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "5296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey a. Trinka, P.C. (Goodyear Chiropractic Clinic)
• Jeffrey Porter DC LLC. (Porter Chiropractic)
• Dominiqiue Janay Jenkins
• Emma Jennings
• Amy Elizabeth Jensby, DMD
• Liseth Joaquin
• Darren Joffe
• Akilah Johnson, LMT
• Ashley Lynn Marie Johnson
• Brian Johnson

• Internal Medicine Physician in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.