Brooke Grant Jeffy, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

46788 Issued in AZ

Practice address

9500 E Ironwood Square Dr Ste 110
Scottsdale, AZ 85258-4582

Phone

(480) 948-8400

Fax

(480) 948-8401

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brooke Shannon Grant Former name

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

Specialty

Dermatology

Education

University of Louisville School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alta Dermatology Group LTDGroup PAC ID 4587656723, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alta Dermatology Group LTD

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1780801506
  Medicare reassignment Care Compare group NPD
• Integrated Dermatology of Mesa PLLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1922378850
  NPD
• Richard Lee Averitte Jr PLLC

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1609291848
  NPD (past)
• Richard Lee Averitte Jr., PLLC

  • Non-Pharmacy Dispensing Site
  • Surprise, AZ
  • NPI 1598112831
  NPD (past)
• Richard Lee Averitte Jr., PLLC

  • Non-Pharmacy Dispensing Site
  • Anthem, AZ
  • NPI 1619428851
  NPD (past)
• Skin Group PLLC

  • Dermatopathology Physician
  • Louisville, KY
  • NPI 1013925106
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750416608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 E IRONWOOD SQUARE DR STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "480-948-8400",
            "fax_number": "480-948-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 E IRONWOOD SQUARE DR STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "480-948-8400",
            "fax_number": "480-948-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFY",
        "first_name": "BROOKE",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "46788",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "40450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "773773",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "GRANT",
            "middle_name": "SHANNON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey E. McAlister, PLLC
• Jeffrey Kleinman MD
• Jeffrey Knutsen P C
• Jeffrey Styskal Dentistry PLLC
• Zachary Alan Jeffrey, PA
• Jei Holdings, LLC
• Jem Health, LLC
• Alyssa Jemley
• Amy L Jencks, D.O.
• James Wayne Jenista, D.D.S.

• Dermatology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.