Active NPI
Daniel Ashley Brimm, PA-C
- Medical Physician Assistant
- Whiteriver, AZ
National Provider Identifier
1851445936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1277
- Practice address
- 200 W Hospital Drive
Whiteriver, AZ 85941 - Phone
- (928) 338-4911
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 801 | CO | |
| Medical Physician Assistant | 363AM0700X | 1277 | AZ | Primary |
Addresses
Primary practice location
200 W Hospital Drive
Whiteriver, AZ 85941
Mailing address
769 N Copper View Dr
Green Valley, AZ 85614-5811
Phone (719) 648-6912
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 801 | CO | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1851445936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 N COPPER VIEW DR",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856145811",
"telephone_number": "719-648-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W HOSPITAL DRIVE",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "85941",
"telephone_number": "928-338-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIMM",
"first_name": "DANIEL",
"middle_name": "ASHLEY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA 801",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "1277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiteriver, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.