Taz Aaron Brinkerhoff, MD
Individual provider Active NPI Emergency Medicine Physician · Kingman, AZ
NPI 1740740646 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1740740646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD2022-1015 (NM)
- Practice address
- 3269 N Stockton Hill Rd
Kingman, AZ 86409-3619 - Phone
- (928) 263-4466
- Fax
- (928) 681-8638
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Emergency Medical Associates of NM PC
Practice addresses (Care Compare)
2450 S Telshor Blvd
Las Cruces, NM 88011-5076
Phone (575) 522-8641
Hospital & facility affiliations
- Mt. Graham Regional Medical Center
- Northern Cochise Community Hospital, Inc.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220831001651 | AZ | Practitioner - Emergency Medicine | 9335523935 | Reassigns benefits to 1 organization |
| I20221006001002 | NM | Practitioner - Emergency Medicine | 9335523935 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2022-1015 | NM | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innova Emergency Medical Associates PC | Emergency Medicine | Current |
Accepting new patients |
| Mt Graham Regional Medical Center Inc | Current | Accepting new patients | |
| Southwest Emergency Medical Associates of NM PC | Emergency Medicine | Current |
Accepting new patients |
Locations
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AZ | ||
| Emergency Medicine Physician | 207P00000X | MD2022-1015 | NM | Yes |
Addresses
Primary practice location
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Mailing address
6907 Roswell Rd Apt B
Atlanta, GA 30328-2309
Phone (928) 651-1032
Other providers in Kingman, AZ
- Carol Marquis Breckenridge
- Elisha Bremmer
- Thomas Dee Bress
- Arlene Bridgers
- Brighter Heights Arizona, LLC Dba Hualapai Mountain
- Dustin Ray Brisco
- Kimberly Ann Brisco
- Julian Alexander Brix
- Lanita Brixey
- Marie-There Yvonne Broca
All providers in Kingman, AZ · Emergency Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.