Active NPI
Brandon Michael Intrieri, DO
- Emergency Medicine Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 008393
- Practice address
- 18701 N 67TH Ave
Glendale, AZ 85308-7100 - Phone
- (814) 464-3340
- NPI assigned
- Jun 10, 2017
- Last updated
- Aug 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | HS000288L | PA | |
| Emergency Medicine Physician | 207P00000X | 008393 | AZ | Primary |
Addresses
Primary practice location
18701 N 67TH Ave
Glendale, AZ 85308-7100
Mailing address
5477 W Quail Ave
Glendale, AZ 85308-9129
Phone (814) 464-3340
Other practice location 1
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Phone (412) 647-6340
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16815 W Bell Rd
Surprise, AZ 85374-2101
Phone (615) 665-6000
18701 N 67TH Ave
Glendale, AZ 85308-7101
Phone (602) 561-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008393 | AZ | MD | Emergency Medicine Physician |
| HS000288L | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Acute Medical Services 1 PC | Current | Accepting new patients | |
| Emergency Group of Arizona Professional Corporation | Emergency Medicine | Current | Accepting new patients |
Locations
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400
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.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1215275433
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Abrazo Arrowhead Campus
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
dba Abrazo Peoria Emergency Center
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1801325030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5477 W QUAIL AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853089129",
"telephone_number": "814-464-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18701 N 67TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087100",
"telephone_number": "814-464-3340"
}
],
"practiceLocations": [
{
"address_1": "3600 Forbes Ave Ste 140",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152133410",
"country_code": "US",
"telephone_number": "412-647-6340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INTRIERI",
"first_name": "BRANDON",
"middle_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-10",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "HS000288L",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "008393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
- Integrity Pain and Anesthesia PLLC (Integrity Pain and Wellness)
- Intensive Treatment Systems LLC
- Intercessory Counseling & Wellness, PLLC
- Intouch Elder Care
- Intouch Medical Supply
- Ion Anesthesia Services PLLC
- Iora Senior Health, LLC (One Medical)
- Iora Senior Health, LLC (Iora Primary Care)
- Kristina Iott
- Ipn of Arizona, PLC (Inpatient Physicians Network of Arizona)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.