Active NPI
Kimberly Anne Diana-Brooks, D.O.
- Obstetrics & Gynecology Physician
- Phoenix, AZ
National Provider Identifier
1801906789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 3355
- Practice address
- 3650 W Bethany Home Rd
Phoenix, AZ 85019-1967 - Phone
- (602) 841-0707
- Fax
- (602) 841-0708
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 3355 | AZ | Primary |
Addresses
Primary practice location
3650 W Bethany Home Rd
Phoenix, AZ 85019-1967
Mailing address
3650 W Bethany Home Rd
Phoenix, AZ 85019-1967
Phone (602) 841-0707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3355 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Obstetrics & Gynecology | Obstetrics & Gynecology | Current | Accepting new patients |
| Phoenix Life Center Inc | Past | Accepting new patients |
Locations
3650 W Bethany Home Rd
Phoenix, AZ 85019
Phone (602) 841-0707
3650 W Bethany Home Rd
Ste 2
Phoenix, AZ 85019
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.
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1972372779
-
- Chiropractor
- Phoenix, AZ
- NPI 1700061355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801906789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850191967",
"telephone_number": "602-841-0707",
"fax_number": "602-841-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850191967",
"telephone_number": "602-841-0707",
"fax_number": "602-841-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIANA-BROOKS",
"first_name": "KIMBERLY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "3355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Diamond Family Care LLC
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- Diamond Lake Home Health Care LLC
- Diamond Manor Adult Care (Diamond Manor Adult Care LLC)
- Diamond S Enterprises, Inc (Assisting Hands Home Care - Scottsdale)
- Carla Elaine Diana, D.C.
- Cynthia Anne Diana
- Ellen M Diana, PH.D.
- James Michael Diana
- Diane Clawson, D.O., P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.