Individual provider Active NPI

Brooke Ashley Popelas, DO

  • Family Medicine Physician
  • San Tan Valley, AZ
National Provider Identifier
1962084368
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
010034 Issued in AZ
Practice address
36283 N Gantzel Rd
San Tan Valley, AZ 85140-7321
Phone
(480) 351-7277
Fax
(480) 219-5457
NPI assigned
Apr 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 010034 AZ Primary

Addresses

Primary practice location

36283 N Gantzel Rd
San Tan Valley, AZ 85140-7321

Mailing address

PO Box 40084
Belfast, ME 04915-1238
Phone (615) 672-7122

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
I20240819002420 AZ Practitioner - Family Practice 5092253237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Phoenix Collaborative Care PCGroup PAC ID 0941503304, 111 clinicians

Practice addresses (Care Compare)

36283 N Gantzel Rd
Suite 101
San Tan Valley, AZ 85140-7322
Phone (702) 480-2550

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010034AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Aug 1, 2024 Accepting new patients
RHG of Arizona, PC Family Medicine CurrentSince Sep 1, 2026 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Aug 1, 2024 Accepting new patients
Heritage Technologies, LLC Family Medicine CurrentSince Sep 1, 2026 Accepting new patients

Locations

10238 E Hampton Ave
Ste 506
Mesa, AZ 85209
Phone (928) 487-5051

10238 E Hampton Ave
Ste 508
Mesa, AZ 85209
Phone (480) 358-6187

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

36283 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 351-7277

36283 N Gantzel Rd
Ste 101
San Tan Vly, AZ 85140
Phone (480) 351-7277

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

Interoperability endpoints

  • Direct secure messaging: bsmith114490@westdirect.optum.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1962084368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40084",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151238",
            "telephone_number": "615-672-7122",
            "fax_number": "615-672-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36283 N GANTZEL RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407321",
            "telephone_number": "480-351-7277",
            "fax_number": "480-219-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPELAS",
        "first_name": "BROOKE",
        "middle_name": "ASHLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "010034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

Verify at the official NPI Registry.