Brendan P Cassidy, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

22365 Issued in AZ

Practice address

1331 N 7TH St
Suite 100
Phoenix, AZ 85006-2754

Phone

(602) 222-2234

Fax

(602) 222-3025

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Children'S Brain Academy

  • Counselor
  • Phoenix, AZ
  • NPI 1548959935
  NPD Authorized official
• Abc Children'S Eye Specialists PC

  • Eyewear Supplier
  • Sun City, AZ
  • NPI 1457410623

  Ophthalmology

  NPD

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381104000000",
    "number": "1992779425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97876",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850607876",
            "telephone_number": "602-222-2234",
            "fax_number": "602-222-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "602-222-2234",
            "fax_number": "602-222-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "BRENDAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "22365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167074",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Cassaday, PHARMD, BCPS
• David Cassell, RN
• Ian L Cassell, M.D.
• Penny Ann Cassell
• Samantha Casselman, CPNP-PC
• Colleen C Casson, LPC
• Nicholas Akasha Cassuto, MD
• Marisol Castaneda Gutierrez
• Cecilio M Castaneda, PHARMD
• Cynthia Castaneda

• Ophthalmology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.