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JEFFREY ALAN BRINK M.D. NPI 1417952516


NPI Information

NPI: 1417952516
Provider Name: JEFFREY ALAN BRINK, M.D.
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2218 N 3RD ST
PHOENIX, AZ
ZIP 85004
Phone: (602) 252-2543
Get Directions

Jeffrey Alan Brink, M.D. is a transplant surgery in Phoenix, AZ with 27 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee Jeffrey Alan Brink, M.D. NPI is 1417952516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

2218 N 3RD ST
PHOENIX, AZ
ZIP 85004-401
Phone: (602) 252-2543
Fax: (602) 252-3861

The NPI 1417952516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2005 and was last updated on 9/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204F00000XTransplant Surgery32941ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1787054MEDICAIDARIZONA
2H67412MEDICARE UPINARIZONA
3Z82420MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.