Erik-Brandon Clement Buzan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5148 Issued in AZ

Practice address

8520 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6677

Phone

(480) 588-6924

NPI assigned

Sep 19, 2012

Last updated

Sep 19, 2012By 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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Puerto Sonora Internal MedicineGroup PAC ID 6002288958, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Puerto Sonora Internal Medicine

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1427635408
  Medicare reassignment Care Compare group
• Vitality Internal Medicine - Glendale LLC

  dba Mens Vitality Center

  • Primary Care Clinic/Center
  • Glendale, AZ
  • NPI 1336436690
  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1699025494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606677",
            "telephone_number": "480-588-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606677",
            "telephone_number": "480-588-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZAN",
        "first_name": "ERIK-BRANDON",
        "middle_name": "CLEMENT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kosheda Vanette Butler, LAC
• Kristina A Butler, M.D.
• Warren Maynard Butler, MD
• Yasmeen Mahmood Butt, M.D.
• Matthew A Butters, M.D.
• Bvo Professional Services LLC (Acti-Kare Responsive In Home Care)
• Michelle Lea Byers, DNP
• Kenneth James Bykowski, RPH
• Jay Justin Byrd, MD
• Jessica Byrd, FNP

• Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.