Individual provider Active NPI

Dean Clark Brick, M.D.

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1710071170
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12366 Issued in AZ
Practice address
6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1148
Phone
(520) 325-9400
Fax
(520) 325-8965
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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 12366 AZ Primary
Ophthalmology Physician 207W00000X G35524 CA

Addresses

Primary practice location

6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1148

Mailing address

6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1148
Phone (520) 325-9400

Other identifiers 1

IdentifierTypeStateIssuer
220921MedicaidAZ

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
I20040428000929 AZ Practitioner - Ophthalmology 9436146784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornea Associates, PLLCGroup PAC ID 3375530611, 6 clinicians

Practice addresses (Care Compare)

6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1151
Phone (520) 325-9400

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
90.32
Improvement activities
40
Cost
79.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12366AZMDOphthalmology Physician
G35524CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornea Associates, PLLC Ophthalmology CurrentSince Jun 1, 2004 Accepting new patients
Sean J. McCafferty, MD, PC Ophthalmology CurrentSince Jul 1, 2004 Accepting new patients

Locations

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

490 N Alvernon Way
Tucson, AZ 85711
Phone (520) 322-2713

Organizations & group practices 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1710071170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101148",
            "telephone_number": "520-325-9400",
            "fax_number": "520-325-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101148",
            "telephone_number": "520-325-9400",
            "fax_number": "520-325-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICK",
        "first_name": "DEAN",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "12366",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G35524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220921",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.