North Phoenix Internal Medicine PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

14717 Issued in AZ

Legal business name

NORTH PHOENIX INTERNAL MEDICINE PC

Practice address

1747 E Morten Ave
Suite 303
Phoenix, AZ 85020-4602

Phone

(602) 589-0370

Fax

(602) 589-0650

NPI assigned

Feb 17, 2006

Last updated

Sep 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Kent Brubaker, M.D.NPI 1336114016

Title

Doctor

Phone

(602) 589-0370

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Su-Lee Choi Boyle, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1881587285
  Medicare reassignment Care Compare group NPD
• William Kent Brubaker, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1336114016
  Medicare reassignment NPD Authorized official
• Phuc H Pham, M.D.

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1760456487
  Medicare reassignment Care Compare group NPD
• Martin Tai Nguyen, PA

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1396330825
  Medicare reassignment
• Truc Nguyen, PA-C

  • Physician Assistant
  • Peoria, AZ
  • NPI 1306308465
  Medicare reassignment
• Kim Oanh Thi Vu, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1255739488
  Medicare reassignment
• Linda Sinat Som, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1477511764
  NPD (past)
• Anna Phuong Tran, M.D.

  • Occupational Medicine Physician
  • Glendale, AZ
  • NPI 1962523613
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1700850492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 E MORTEN AVE",
            "address_2": "SUITE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204602",
            "telephone_number": "602-589-0370",
            "fax_number": "602-589-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 E MORTEN AVE",
            "address_2": "SUITE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204602",
            "telephone_number": "602-589-0370",
            "fax_number": "602-589-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PHOENIX INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "BRUBAKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "602-589-0370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "14717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Phoenix Counseling
• North Phoenix Dental Studio PLLC
• North Phoenix Health Institute
• North Phoenix Healthcare LLC
• North Phoenix Heart Center
• North Phoenix Medical Center, LTD
• North Phoenix Medical Group LLC
• North Phoenix Orthopedic Surgeons, LTD
• North Phoenix Otc LLC
• North Phoenix Pain Center LLC

• Health Service Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.