Pinnacle Women's Center LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

005718 Issued in AZ

Legal business name

PINNACLE WOMEN'S CENTER LLC

Doing business as

Desiree Brotsky, DO
Rebecca Branaman, MD

Practice address

15396 N 83Rd Ave Ste F100
Peoria, AZ 85381

Phone

(602) 595-9696

Fax

(623) 412-9123

NPI assigned

Jan 29, 2015

Last updated

Nov 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Sawyer

Title

Admin

Phone

(602) 626-5453

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 3

• DESIREE BROTSKY, DO Doing business as
• Rebecca Branaman, MD Doing business as
• Desiree LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Rebecca M Branaman, M.D.

  • Obstetrics & Gynecology Physician
  • Peoria, AZ
  • NPI 1144289232
  Medicare reassignment Care Compare group NPD
• Desiree Dawn Brotsky, D.O.

  • Obstetrics & Gynecology Physician
  • Peoria, AZ
  • NPI 1043422777
  Medicare reassignment Care Compare group NPD
• Siara Campbell

  • Women's Health Nurse Practitioner
  • Peoria, AZ
  • NPI 1003642919
  NPD
• Angela Loraine Delgado

  • Women's Health Nurse Practitioner
  • Goodyear, AZ
  • NPI 1295494383
  NPD
• Kathryn Wilson, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1639851082
  NPD (past)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541203200000",
    "number": "1881084838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10967",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853180967",
            "telephone_number": "602-595-9696",
            "fax_number": "623-412-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE F100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "602-595-9696",
            "fax_number": "623-412-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE WOMEN'S CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2018-11-03",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "602-626-5453"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "005718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "578635",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1144289232",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "632408",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1043422777",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESIREE BROTSKY, DO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DESIREE BROTSKY, DO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rebecca Branaman, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desiree LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.