Chad Burdal Brimhall, M.D.
Individual provider Active NPI Family Medicine Physician · Snowflake, AZ
NPI 1699095976 · NPPES record last updated Apr 12, 2024
Key facts
- NPI
- 1699095976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R72084 (AZ)
- Practice address
- 1121 S Main St
Snowflake, AZ 85937-5645 - Phone
- (928) 536-5858
- Fax
- (928) 536-2196
- NPI assigned
- Jun 9, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Healthcare Medical Associates
Practice addresses (Care Compare)
1121 S Main St
Snowflake, AZ 85937-5645
Phone (928) 536-5858
Hospital & facility affiliations
- Home Health Safford, LLC
- Hospice Compassus - White Mountain
- Summit Healthcare Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Summit Healthcare Association |
Home health agency | Corporate Director W-2 Managing Employee |
Jan 1, 2025 Jan 1, 2025 |
| Summit Healthcare Family Medicine Snowflake Taylor |
Rural health clinic | Corporate Director | Jul 22, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130828000044 | AZ | Practitioner - Family Practice | 5193968857 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R72084 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Healthcare Medical Associates | Current |
Accepting new patients | |
| Summit Healthcare Medical Associates | Family Medicine | Current | Accepting new patients |
| Summit Healthcare Medical Associates | Current |
Accepting new patients | |
| Summit Healthcare Association | Current |
Accepting new patients | |
| Summit Healthcare Association | Current |
Accepting new patients | |
| Hospitalist Medicine Healthcare LLC | Hospitalist | Current |
Accepting new patients |
| Summit Healthcare Medical Associates | Past | Accepting new patients |
Locations
100 E Code Talkers Dr
Holbrook, AZ 86025
Phone (928) 524-3751
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
48 E 1st St S
Snowflake, AZ 85937
Phone (928) 536-2726
590 S Main St
Snowflake, AZ 85937
Phone (520) 536-7519
1121 S Main St
Snowflake, AZ 85937
Phone (928) 532-3008
Interoperability endpoints
- chadbrimhall@shrmcshma.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 48077 | AZ | |
| Family Medicine Physician | 207Q00000X | R72084 | AZ | Yes |
Addresses
Primary practice location
1121 S Main St
Snowflake, AZ 85937-5645
Mailing address
1121 S Main St
Snowflake, AZ 85937-5645
Phone (928) 536-5858
Other practice location 1
590 S Main St
Snowflake, AZ 85937-5228
Phone (928) 536-7519
Other providers in Snowflake, AZ
- George Elden Blair
- Jackie C Blair
- Bowman Chiropractic Clinic LTD
- Wesley Michael Bowman
- Brett Joseph Brewer
- Ronald Joe Byrd
- C and K Home Furnishings
- Mark Porter Caldwell
- Call'S Community Pharmacy LLC
- Jeffery Ross Campbell
All providers in Snowflake, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.