BRENTIN LEE ROLLER (NPI# 1134483050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134483050 |
| Entity Type | Individual |
| Full Name | BRENTIN LEE ROLLER |
| Credential | D.O. |
| Practice Address |
2510 W Dunlap Ave Ste 290 Phoenix AZ 85021-2759 |
| Practice Telephone | 6027890344 |
| Practice Fax Number | 6028707566 |
| Mailing Telephone | 6027890344 |
| Mailing Fax Number | 6028707566 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2016-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
006943 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2510 W DUNLAP AVE STE 290 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578564860 | Hospitalists of Arizona, Inc | Internal Medicine | 2510 W Dunlap Ave, Suite 290, Phoenix, AZ 85021-2737 | 2005-08-09 |
| 1629519335 | Helen Tagormacon Ferrer-irwin | Nurse Practitioner | 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2737 | 2017-03-14 |
| 1508305954 | Wendy Ann Herrington | Nurse Practitioner | 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2737 | 2017-02-17 |
| 1265978399 | Windy Marie Tulino | Nurse Practitioner | 2510 W Dunlap Ave, #290, Phoenix, AZ 85021-2737 | 2017-01-12 |
| 1881140259 | Tandra A Garvin | Nurse Practitioner | 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2737 | 2016-08-26 |
| 1770933780 | Melissa Ann Ritzen | Registered Nurse | 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2759 | 2016-06-21 |
| 1528412277 | Leonila Purisima Jequinto | Nurse Practitioner | 2510 W Dunlap Ave, Suite 290, Phoenix, AZ 85021-2737 | 2016-04-19 |
| 1235592056 | Geana Terry | Nurse Practitioner | 2510 W Dunlap Ave, Suite 290, Phoenix, AZ 85021-2737 | 2016-03-30 |
| 1689067969 | Rachel Wilkins | Nurse Practitioner | 2510 W Dunlap Ave, Suite 290, Phoenix, AZ 85021-2737 | 2015-03-11 |
| 1700282597 | Melissa Lynn Moltz | Nurse Practitioner | 2510 W Dunlap Ave, Phoenix, AZ 85021-2737 | 2014-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942695978 | Odero Consultants | Internal Medicine | 7000 N 16th St Ste 120, Phoenix, AZ 85020-5524 | 2015-04-07 |
| 1417129958 | Victor N. Gan | Internal Medicine | 1526 W Wilshire Dr, Phoenix, AZ 85007-1216 | 2008-03-25 |
| 1205027646 | Phoenix Id LLC | Internal Medicine | 340 E Palm Ln Ste 100, Phoenix, AZ 85004-4528 | 2007-08-08 |
| 1285839795 | Madhuri Segireddy | Internal Medicine | 340 E Palm Lane, A260, Phoenix, AZ 85004 | 2007-06-15 |
| 1356553986 | Desert Valley Infectious Disease Physicians | Internal Medicine | 233 W Lamar Rd, Phoenix, AZ 85013-1219 | 2007-05-04 |
| 1518096270 | Minghsun Liu | Internal Medicine | 11811 N Tatum Blvd Ste 1075, Phoenix, AZ 85028-1661 | 2007-03-05 |
| 1477664605 | Jones O Kumi M D P C | Internal Medicine | 2610 N 3rd St Ste A, Phoenix, AZ 85004-1156 | 2006-08-31 |
| 1790737138 | Patrick Aidan Murphy | Internal Medicine | 57 Blenheim Farm Ln, Phoenix, MD 21131-2136 | 2006-05-16 |
| 1396703757 | Daniel Marino | Internal Medicine | 128 W Marlette Ave, Phoenix, AZ 85013-1524 | 2006-05-03 |
| 1912973041 | Michael J. Gehman | Internal Medicine | 2700 N 3rd St Ste 3045, Phoenix, AZ 85004-4627 | 2006-02-28 |
| Find all providers in PHOENIX | ||||
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| 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.