Individual provider Active NPI

Brian Myung Chang, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Cottonwood, AZ
National Provider Identifier
1700879343
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
34356 Issued in AZ
Practice address
270 S Candy LN
Cottonwood, AZ 86326-4164
Phone
(480) 892-8400
Fax
(480) 892-9533
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 34356 AZ
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 34356 AZ Primary

Addresses

Primary practice location

270 S Candy LN
Cottonwood, AZ 86326-4164

Mailing address

4800 N 22ND St
Phoenix, AZ 85016-4701
Phone (480) 892-8400

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000782 AZ Practitioner - Ophthalmology 1658314455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians
Barnet Dulaney Perkins Eye Center, PCGroup PAC ID 0749288298, 104 clinicians

Practice addresses (Care Compare)

270 S Candy LN
Cottonwood, AZ 86326-4164
Phone (928) 634-4202

5285 W Bell Rd
Suite 110
Glendale, AZ 85308-3957
Phone (602) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34356AZMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology CurrentSince Sep 30, 2020 Accepting new patients
Southwestern Eye Center LTD Ophthalmology CurrentSince Mar 20, 2006 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Mar 20, 2006 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Sep 30, 2020 Accepting new patients
Southwestern Eye Center LTD Past Accepting new patients

Locations (25 of 42)

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

110 S Idaho Rd
Ste 260
Apache Junction, AZ 85119
Phone (480) 485-9580

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504

371 W Central Ave
Coolidge, AZ 85128
Phone (520) 723-3000

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

101 S La Canada Dr
Ste 18
Green Valley, AZ 85614
Phone (520) 625-5673

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

2005 Injo Dr
Ste 102
Lk Havasu Cty, AZ 86403
Phone (928) 505-3696

4760 E Falcon Dr
Mesa, AZ 85215
Phone (480) 985-7400

2610 E University Dr
Mesa, AZ 85213

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

1114 S Higley Rd
Mesa, AZ 85206
Phone (480) 264-2295

1815 N Mastick Way
Nogales, AZ 85621
Phone (520) 761-3533

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

5251 W Campbell Ave
Ste 102
Phoenix, AZ 85031
Phone (623) 846-7603

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

1600 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 608-5500

3223 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-1510

Interoperability endpoints

  • Direct secure messaging: brian.chang@direct.avp.nextgenshare.com
  • Direct secure messaging: brian.chang.p11@direct.avp.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1700879343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "480-892-8400",
            "fax_number": "480-654-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S CANDY LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264164",
            "telephone_number": "480-892-8400",
            "fax_number": "480-892-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "BRIAN",
        "middle_name": "MYUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "34356",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "AZ",
            "license": "34356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.