Individual provider Active NPI

Scott Braverman, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1801414883
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
242002 Issued in AZ
Practice address
4338 E Florian Ave Ste 102
Mesa, AZ 85206-2687
Phone
(480) 389-6579
Fax
(480) 462-4838
NPI assigned
Jul 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 242002 AZ Primary

Addresses

Primary practice location

4338 E Florian Ave Ste 102
Mesa, AZ 85206-2687

Mailing address

2177 S McQueen Rd Apt 2041
Chandler, AZ 85286-1841
Phone (602) 670-0124

Other practice location 1

9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (888) 803-3370

Other practice location 2

2175 NW Raleigh St Ste 110
Portland, OR 97210-2392
Phone (888) 803-3370

Other practice location 3

350 E 400 S # 220
Salt Lake City, UT 84111-2993
Phone (888) 803-3370

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028002631 AZ Practitioner - Nurse Practitioner 9638589823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
242002AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Medical Care, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Sjhmc Physician Services CurrentSince Oct 1, 2020 Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Saint Francis Medical Center Past Accepting new patients

Locations

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

3030 N Central Ave
Ste 1001
Phoenix, AZ 85012

500 W Thomas Rd
Ste 600
Phoenix, AZ 85013
Phone (602) 406-1140

5900 N Granite Reef Rd
Ste 102
Scottsdale, AZ 85250
Phone (480) 482-7077

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBACD
  • Direct secure messaging: scott.braverman@785195009703940.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1801414883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 S MCQUEEN RD APT 2041",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861841",
            "telephone_number": "602-670-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 E FLORIAN AVE STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062687",
            "telephone_number": "480-389-6579",
            "fax_number": "480-462-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 N 91st St Ste A115",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585036",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2175 NW Raleigh St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972102392",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 E 400 S # 220",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841112993",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVERMAN",
        "first_name": "SCOTT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "242002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.