Individual provider Active NPI

Brenden McRae, MD

  • Family Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1720127715
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37188 Issued in AZ
Practice address
888 S Greenfield Rd Ste 102
Gilbert, AZ 85296-4012
Phone
(480) 507-0700
Fax
(480) 269-9090
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37188 AZ Primary

Addresses

Primary practice location

888 S Greenfield Rd Ste 102
Gilbert, AZ 85296-4012

Mailing address

888 S Greenfield Rd #102
Gilbert, AZ 85296-4012
Phone (480) 507-0700

Other identifiers 1

IdentifierTypeStateIssuer
235400MedicaidAZ

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
I20070911000616 AZ Practitioner - Family Practice 3678666328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Urgent Care, LLCGroup PAC ID 7012101157, 2 clinicians
Health First Family Medicine LLCGroup PAC ID 3971628132, 2 clinicians

Practice addresses (Care Compare)

888 S Greenfield Rd
Suite 101
Gilbert, AZ 85296-4012
Phone (480) 892-1300

Hospital & facility affiliations

  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Urgent Care LLC Past Accepting new patients
Nextcare Arizona LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1720127715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S GREENFIELD RD #102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964012",
            "telephone_number": "480-507-0700",
            "fax_number": "480-507-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S GREENFIELD RD STE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964012",
            "telephone_number": "480-507-0700",
            "fax_number": "480-269-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "BRENDEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "37188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235400",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.