Organization Active NPI

Turf Paradise Medical PLLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1720265333
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
16107 Issued in AZ
Legal business name
TURF PARADISE MEDICAL PLLC
Practice address
1501 W Bell Rd
Phoenix, AZ 85023-3411
Phone
(480) 518-3373
Fax
(602) 843-8130
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Dr. Dawn Dianne Brokaw, M.D.
Title
Owner
Phone
(480) 518-3373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 16107 AZ Primary

Addresses

Primary practice location

1501 W Bell Rd
Phoenix, AZ 85023-3411

Mailing address

9909 E Paradise Dr
Scottsdale, AZ 85260-5920
Phone (480) 518-3373

National Provider Directory

National Provider Directory

Locations

1501 W Bell Rd
Phoenix, AZ 85023
Phone (480) 518-3373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1720265333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 E PARADISE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605920",
            "telephone_number": "480-518-3373",
            "fax_number": "602-843-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233411",
            "telephone_number": "480-518-3373",
            "fax_number": "602-843-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURF PARADISE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "BROKAW",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-518-3373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "16107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.