Individual provider Active NPI

Brent William Walters, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1891855425
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3588 Issued in AZ
Practice address
10900 N Scottsdale Rd Ste 202
Scottsdale, AZ 85254-5228
Phone
(480) 882-7470
Fax
(480) 922-2472
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3588 AZ Primary

Addresses

Primary practice location

10900 N Scottsdale Rd Ste 202
Scottsdale, AZ 85254-5228

Mailing address

2500 W Utopia Rd Ste 100
Phoenix, AZ 85027-4172
Phone (623) 683-4462

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000558 AZ Practitioner - Family Practice 2769468743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

10900 N Scottsdale Rd
Suite 603
Scottsdale, AZ 85254-5252
Phone (480) 882-7470

Hospital & facility affiliations

  • Scottsdale Healthcare Home Health Home health agency, Scottsdale, AZ, CCN 037024
  • Arizona Home Care Home health agency, Tempe, AZ, CCN 037199
  • Amedisys Home Health Care Home health agency, Phoenix, AZ, CCN 037106
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3588AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corp Family Medicine CurrentSince Jan 25, 2016 Accepting new patients
Honorhealth Ambulatory CurrentSince Jan 25, 2016 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 25, 2016 Accepting new patients
John C Lincoln , LLC CurrentSince Jan 25, 2016 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine PastSince Aug 23, 2020 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10419 E McDowell Mtn Ranch Rd
Ste A100
Scottsdale, AZ 85255
Phone (480) 882-7530

20745 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 587-5460

10900 N Scottsdale Rd
Ste 603
Scottsdale, AZ 85254
Phone (480) 607-3800

10200 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 314-2288

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: bwalters75721@direct.honorhealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1891855425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274172",
            "telephone_number": "623-683-4462",
            "fax_number": "623-683-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545228",
            "telephone_number": "480-882-7470",
            "fax_number": "480-922-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "BRENT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.