Individual provider Active NPI

Susan Anne Briceland, M.D.

  • Gynecology Physician
  • Sun City West, AZ
National Provider Identifier
1710910666
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
19009 Issued in AZ
Practice address
13624 W Camino del Sol Ste 200
Sun City West, AZ 85375-3401
Phone
(623) 546-6599
Fax
(623) 546-2399
NPI assigned
Jul 7, 2006
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 19009 AZ Primary

Addresses

Primary practice location

13624 W Camino del Sol Ste 200
Sun City West, AZ 85375-3401

Mailing address

13624 W Camino del Sol Ste 200
Sun City West, AZ 85375-3401
Phone (623) 546-6599

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
I20100209000819 AZ Practitioner - Obstetrics/Gynecology 1951442839

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19009AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1710910666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13624 W CAMINO DEL SOL STE 200",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853753401",
            "telephone_number": "623-546-6599",
            "fax_number": "623-546-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13624 W CAMINO DEL SOL STE 200",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853753401",
            "telephone_number": "623-546-6599",
            "fax_number": "623-546-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICELAND",
        "first_name": "SUSAN",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "19009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.