DR. JEROMY BRINK (NPI# 1003876269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003876269 |
| Entity Type | Individual |
| Full Name | DR. JEROMY BRINK |
| Credential | MD |
| Practice Address |
3033 N Central Ave 610 Phoenix AZ 85012-2809 |
| Mailing Address |
2320 N 3rd St Phoenix AZ 85004-1303 |
| Practice Telephone | 6022777430 |
| Practice Fax Number | 6022795333 |
| Mailing Telephone | 6022589900 |
| Mailing Fax Number | 6022589904 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2015-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
31491 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 793910 | 05 |
| Street Address |
3033 N CENTRAL AVE 610 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538672423 | Michael B. Bayless & Associates, Inc | Clinic/Center | 3033 N Central Ave, 700, Phoenix, AZ 85012-2809 | 2017-11-14 |
| 1871915827 | Michael B. Bayless & Associates, Inc | Clinic/Center | 3033 N Central Ave, 700, Phoenix, AZ 85012-2809 | 2014-01-10 |
| 1255663233 | Winston S Thomas, Md, PC | Surgery | 3033 N Central Ave, Ste 610, Phoenix, AZ 85012-2809 | 2010-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894890 | Honorhealth Ambulatory | Surgery | 9250 N 3rd St Ste 2000, Phoenix, AZ 85020-2403 | 2020-06-03 |
| 1275157414 | Honorhealth Ambulatory | Surgery | 18404 N Tatum Blvd Ste 201, Phoenix, AZ 85032-1508 | 2020-06-03 |
| 1467744490 | Martin Paul Zomaya | Surgery | 3033 N Central Ave Ste 610, Phoenix, AZ 85012 | 2011-05-10 |
| 1326230681 | Salaheddine Tomeh Md PC | Surgery | 333 W Thomas Rd Ste 201, Phoenix, AZ 85013-4425 | 2007-08-10 |
| 1952311037 | Southwestern Cardiovascular and Thoracic Surgeons Ltd | Surgery | 10390 N Tatum Blvd, Suite 103, Phoenix, AZ 85028 | 2006-08-09 |
| 1356303747 | Ronald D Gordon | Surgery | 3811 East Bell Road, Suite 208, Phoenix, AZ 85032 | 2006-04-03 |
| 1275502015 | Valley Vascular Surgeons PC | Surgery | 3811 East Bell Rd, Suite 208, Phoenix, AZ 85032 | 2006-03-15 |
| 1902807852 | Dawn Marie Olsen | Surgery | 3600 N 3rd Ave Ste B, Phoenix, AZ 85013-3944 | 2005-08-02 |
| 1881698256 | Casey L Huston | Surgery | 4045 E Bell Rd, Suite 127, Phoenix, AZ 85032-2236 | 2005-06-13 |
| 1982228136 | Honorhealth Ambulatory | Surgery | 19841 N 27th Ave Ste 101, Phoenix, AZ 85027-4004 | 2020-06-03 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on DR. JEROMY BRINK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.