Individual provider Active NPI

Gibrham Rodriguez, M.D.

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1982938502
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
85793 Issued in WI
Practice address
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone
(602) 344-5808
NPI assigned
Sep 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R70228 AZ
Emergency Medicine Physician 207P00000X 85793 WI Primary
General Practice Physician 208D00000X R70228 AZ

Addresses

Primary practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Mailing address

5302 E Van Buren St Unit 2052
Phoenix, AZ 85008-7972
Phone (602) 502-0693

Other practice location 1

1000 North Oak Avenue
Marshfield, WI 54449-5703
Phone (715) 387-5511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100706000126 AZ Practitioner - Emergency Medicine 9638200751 Reassigns benefits to 7 organizations
I20250428001630 WI Practitioner - Emergency Medicine 9638200751 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Meharry Medical College School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Cobre Valley Emergency Services, LLCGroup PAC ID 3072024066, 15 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (386) 274-7901

Hospital & facility affiliations

  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037
  • Cobre Valley Regional Medical Center Hospital, Globe, AZ, CCN 031314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R70228AZMDEmergency Medicine Physician
85793WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Apr 23, 2025 Accepting new patients
Loop 101 Emergency Physicians LLC Emergency Medicine CurrentSince Jul 15, 2013 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Apr 23, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Apr 23, 2025 Accepting new patients
Cobre Valley Emergency Services, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Apr 23, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Apr 23, 2025 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
303 Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 9, 2013 Accepting new patients
Flambeau Hospital Inc CurrentSince Apr 23, 2025 Accepting new patients
Phoenix Physician Group, PLLC CurrentSince Dec 16, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Apr 23, 2025 Accepting new patients
East Valley Ep, PLLC CurrentSince Mar 8, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Apr 23, 2025 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Flambeau Hospital Inc CurrentSince Apr 23, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Apr 23, 2025 Accepting new patients
Emcare - PNX Emergency Physicians LLC Emergency Medicine CurrentSince Jul 15, 2013 Accepting new patients
MCHS Hospitals Inc CurrentSince Apr 23, 2025 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Emurgent Care PLLC Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

3050 S Dobson Rd
Chandler, AZ 85248
Phone (480) 284-5867

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 4

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1982938502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 E VAN BUREN ST UNIT 2052",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087972",
            "telephone_number": "602-502-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084973",
            "telephone_number": "602-344-5808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 North Oak Avenue",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GIBRHAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "R70228",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "85793",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "R70228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 North Oak Avenue",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.