NPIMap

Organization Active NPI

Brian G Lee MD PLLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1811365703
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
46248 Issued in AZ
Legal business name
BRIAN G LEE MD PLLC
Practice address
7245 E Osborn Rd
Suite 1
Scottsdale, AZ 85251-6443
Phone
(480) 994-0308
Fax
(480) 941-3740
NPI assigned
Sep 9, 2015
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Dr. Brian G Lee, M.D.NPI 1619123528
Title
Owner
Phone
(480) 994-0308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X 8027 AZ
Otolaryngic Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0602X 8027 AZ
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X 46248 AZ Primary

Addresses

Primary practice location

7245 E Osborn Rd
Suite 1
Scottsdale, AZ 85251-6443

Mailing address

7245 E Osborn Rd
Suite 1
Scottsdale, AZ 85251-6443
Phone (480) 994-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151120000550 AZ Part B Supplier - Clinic/Group Practice 4082914247 Receives reassigned benefits from 21 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

7245 E Osborn Rd
Ste 1
Scottsdale, AZ 85251
Phone (480) 994-0308

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1811365703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD",
            "address_2": "SUITE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516443",
            "telephone_number": "480-994-0308",
            "fax_number": "480-941-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD",
            "address_2": "SUITE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516443",
            "telephone_number": "480-994-0308",
            "fax_number": "480-941-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN G LEE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-994-0308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "8027",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "AZ",
            "license": "8027",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AZ",
            "license": "46248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.