Active NPI
Susan Anne Briceland, M.D.
- Gynecology Physician
- Sun City West, AZ
National Provider Identifier
1710910666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 19009
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100209000819 | AZ | Practitioner - Obstetrics/Gynecology | 1951442839 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19009 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Women's Health Nurse Practitioner
- Sun City West, AZ
- NPI 1780911446
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- Brea Emeritus LLC (Brookdale Trail Ridge)
- Jordan Adam Breau, PA-C
- Brett L. Sperry DMD, PLLC (Elegant Dentistry)
- Briceland Enterprises PLC
- Daniel James Briceland, M.D.
- Kayla Bridges, PT
- Brighter Day Health LLC
- Joseph Randall Broadhead, PT
- Brookdale Senior Living Communities, Inc. (Brookdale Camino Del Sol)
- Greta Maame Nyarkoa Brown, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.