NPIMap

Individual provider Active NPI

Chad Burdal Brimhall, M.D.

  • Family Medicine Physician
  • Snowflake, AZ
National Provider Identifier
1699095976
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R72084 Issued in AZ
Practice address
1121 S Main St
Snowflake, AZ 85937-5645
Phone
(928) 536-5858
Fax
(928) 536-2196
NPI assigned
Jun 9, 2010
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 48077 AZ
Family Medicine Physician 207Q00000X R72084 AZ Primary

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

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
I20130828000044 AZ Practitioner - Family Practice 5193968857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1121 S Main St
Snowflake, AZ 85937-5645
Phone (928) 536-5858

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R72084AZMDFamily Medicine Physician
48077AZMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Medical Associates CurrentSince Sep 29, 2014 Accepting new patients
Summit Healthcare Association CurrentSince Sep 1, 2013 Accepting new patients
Summit Healthcare Medical Associates CurrentSince Sep 29, 2014 Accepting new patients
Summit Healthcare Association CurrentSince Sep 1, 2013 Accepting new patients
Summit Healthcare Medical Associates Family Medicine Current Accepting new patients
Hospitalist Medicine Healthcare LLC Hospitalist CurrentSince Apr 1, 2014 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

1121 S Main St
Snowflake, AZ 85937
Phone (928) 532-3008

48 E 1st St S
Snowflake, AZ 85937
Phone (928) 536-2726

590 S Main St
Snowflake, AZ 85937
Phone (520) 536-7519

Interoperability endpoints

  • Direct secure messaging: chadbrimhall@shrmcshma.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Summit Healthcare AssociationShow Low, AZ, CCN 037027 Home health agency Corporate Director
W-2 Managing Employee		 Jan 1, 2025
Jan 1, 2025
Summit Healthcare Family Medicine Snowflake TaylorSnowflake, AZ, CCN 033852 Rural health clinic Corporate Director Jul 22, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1699095976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375645",
            "telephone_number": "928-536-5858",
            "fax_number": "928-536-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375645",
            "telephone_number": "928-536-5858",
            "fax_number": "928-536-2196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 S Main St",
            "address_purpose": "LOCATION",
            "city": "Snowflake",
            "state": "AZ",
            "postal_code": "859375228",
            "country_code": "US",
            "telephone_number": "928-536-7519",
            "fax_number": "928-536-7305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIMHALL",
        "first_name": "CHAD",
        "middle_name": "BURDAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "48077",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R72084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snowflake, AZ

Sources for this page

Verify at the official NPI Registry.