BROCA HEALTH LLC (NPI# 1104045830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104045830 |
| Entity Type | Organization |
| Organization Name | BROCA HEALTH LLC |
| Practice Address |
1492 S Mill Ave Ste. 114 Tempe AZ 85281-5652 |
| Mailing Address |
3941 E Chandler Blvd Ste. 106-158 Phoenix AZ 85048-0301 |
| Practice Telephone | 4805575710 |
| Practice Fax Number | 4805575712 |
| Mailing Telephone | 4805575710 |
| Mailing Fax Number | 4805575712 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-06-02 |
| Authorized Official Name | IGNACIO CABEZUDO (DOCTOR) |
| Authorized Official Telephone | 4805575710 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 29743 | AZ | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CIGNA # | 9656031 | 01 |
| AZ | AETNA PROVIDER # | 3267734 | 01 |
| AZ | 636293 | 05 | |
| AZ | BCBSAZ # | AZ0767110 | 01 |
| AZ | AETNA GROUP # | 825512 | 01 |
| AZ | AETNA PIN # | 7910494 | 01 |
| AZ | UNITED HEALTHCARE # | 1583670 | 01 |
| AZ | HEALTHNET # | 2Z2152 | 01 |
| Street Address |
1492 S MILL AVE STE. 114 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899448 | Patricia Gail Romo | Midwife | 1492 S Mill Ave, Suite 306, Tempe, AZ 85281-5652 | 2005-05-27 |
| 1467092130 | Physician Group of Arizona Inc | Orthopaedic Surgery | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5660 | 2020-01-10 |
| 1972047066 | Renee Williams | Specialist/Technologist | 1492 S Mill Ave, Tempe, AZ 85281-5652 | 2016-12-08 |
| 1346783354 | Alexis King | Specialist/Technologist | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5652 | 2016-11-22 |
| 1912367038 | Justin Chappell | Physical Therapist | 1492 S Mill Ave, 211, Tempe, AZ 85281-5652 | 2016-03-02 |
| 1962874446 | Danica Bennett | Physician Assistant | 1492 S Mill Ave, #113, Tempe, AZ 85281-5652 | 2015-10-23 |
| 1124497011 | Kirsten Wassum | Dietitian, Registered | 1492 S Mill Ave, Suite 312, Tempe, AZ 85281-5652 | 2015-09-21 |
| 1154754216 | Marshall Hiller | Physical Therapist | 1492 S Mill Ave, Suite 211, Tempe, AZ 85281-5652 | 2013-08-13 |
| 1760721161 | Bernadine R Miu | Nurse Practitioner | 1492 S Mill Ave, Suite 312, Tempe, AZ 85281-5652 | 2013-02-05 |
| 1033482823 | Crystal Monique Fix | Specialist/Technologist | 1492 S Mill Ave, Suite 113, Tempe, AZ 85281-5652 | 2012-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1073124525 | Cinthia Guadalupe Arredondo Paramo | Nurse Practitioner | 1840 W. Broadway Rd., Tempe, AZ 85281 | 2020-08-10 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1265904932 | Halah Alateeq | Speech-Language Pathologist | Asu Speech & Hearing Clinic 975 S Myrtle Ave, Tempe, AZ 85281 | 2018-12-19 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1922501840 | Sydney Blankenship | Physical Therapist | 260 E Rio Salado Pkwy, Apt 2045, Tempe, AZ 85281 | 2018-03-16 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1053826636 | Marta Solano | Nurse Practitioner | 415 S 48th St Ste 107, Tempe, AZ 85281 | 2017-12-05 |
| 1578085551 | Invitro Genetics Arizona | Clinical Medical Laboratory | 437 S. 48th Street, Suite 106, Tempe, AZ 85281 | 2017-07-12 |
| Find all providers in zip 85281 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326272949 | Crisis Response Network, Inc. | Health Maintenance Organization | 1275 W Washington St Ste 201, Tempe, AZ 85281-1210 | 2009-05-11 |
| 1003087875 | Magellan Health | Health Maintenance Organization | 1956 E Chilton Dr, Tempe, AZ 85283-4950 | 2008-03-19 |
| 1679759989 | Health Net of Arizona, Inc. | Health Maintenance Organization | 1230 W Washington St, Mail Stop: Az-900-04-24, Tempe, AZ 85281-1245 | 2008-01-16 |
| 1508306739 | Dr C's Weight Loss and Anti-aging Medicine, PC | Health Maintenance Organization | 2737 W Baseline Rd, Suite 23, Tempe, AZ 85283-1051 | 2017-03-07 |
| 1801204490 | Md Business Solutions Corp | Health Maintenance Organization | 441 S 48th St, 109, Arnoldo Lopez, Tempe, AZ 85281-2303 | 2014-07-26 |
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| 1710527486 | Ideal Physiques | Health Maintenance Organization | 2980 N Hayden Rd, Scottsdale, AZ 85251-6615 | 2020-01-10 |
| 1346881240 | Nova Business Solutions LLC | Health Maintenance Organization | 7137 E Rancho Vista Dr Ste B25, Scottsdale, AZ 85251-1782 | 2019-10-01 |
| 1174087407 | Valley Group Homes LLC | Health Maintenance Organization | 1951 W Camelback Rd Ste 130, Phoenix, AZ 85015-3470 | 2019-01-31 |
| 1124530217 | One Care By Care 1st Health Plan Arizona, Inc. | Health Maintenance Organization | 2355 E Camelback Rd Ste 300, Phoenix, AZ 85016-3406 | 2017-10-30 |
| 1265978522 | Gatmal, LLC | Health Maintenance Organization | 2432 W Romley Ave, Phoenix, AZ 85041-2943 | 2017-01-11 |
| 1578914354 | Thrive Home Health Care LLC | Health Maintenance Organization | 25581 W. Pleasant Ln., Buckeye, AZ 85326 | 2016-06-23 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| 1164887972 | Primebody | Health Maintenance Organization | 11611 E Sahuaro Dr, Suite 100, Scottsdale, AZ 85259-3163 | 2015-12-21 |
| 1710355599 | Quiet River Massage & Bodywork | Health Maintenance Organization | 132 N Washington Ave, Prescott, AZ 86301-3206 | 2015-09-09 |
| 1205213220 | Le Dental P.l.c | Health Maintenance Organization | 6544 W Thomas Rd Ste 8, Phoenix, AZ 85033-5739 | 2015-04-28 |
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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.