BRANDON ROBERT BRAAKSMA (NPI# 1275152142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275152142 |
| Entity Type | Individual |
| Full Name | BRANDON ROBERT BRAAKSMA |
| Credential | PA-C |
| Practice Address |
13400 E Shea Blvd Scottsdale AZ 85259-5499 |
| Practice Telephone | 4803018000 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204F00000X | Transplant Surgery | 8066 | AZ | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 8066 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13400 E SHEA BLVD |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85259-5499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104205 | Mark Randall Wallace | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2005-06-14 |
| 1598365884 | Evelyn Fennelly | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-27 |
| 1114525755 | Justin Michael Chitel | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-15 |
| 1437757283 | Daniel Marston Herman | Nurse Anesthetist, Certified Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-10-14 |
| 1558969436 | Michael Patrick O'shea | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-10-13 |
| 1881201655 | Olivia Laurel Baker | Dietitian, Registered | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-09-25 |
| 1164036729 | Kathleen Alexis Howell Barrus | Genetic Counselor, MS | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-09-01 |
| 1649889528 | Aditi Mishra | Surgery | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-27 |
| 1316556418 | Laura Ann Schaffer | Nurse Practitioner | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
| 1952910077 | Sarah Elizabeth Rebey | Physician Assistant | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053890541 | Irene Mitchell | Speech-Language Pathologist | 11445 E. Via Linda Suite 2235, Scottsdale, AZ 85259 | 2018-08-07 |
| 1437647237 | Meier Clinics of California, Inc. | Counselor | 10565 North 114th Street, Suite 107 - #8, Scottsdale, AZ 85259 | 2018-04-26 |
| 1477071215 | Swati Enhoffer | Pharmacist | 10500 E Mercer Ln, Scottsdale, AZ 85259 | 2017-08-31 |
| 1063964864 | Med Ride | Taxi | 10055 N. 142nd St.# 1130, Scottsdale, AZ 85259 | 2016-10-27 |
| 1639593759 | Dental Associates for Kids Only | Dentist | 12020 E. Shea Blvd. #8, Scottsdale, AZ 85259 | 2014-02-10 |
| 1750712725 | Sharon Nyquist | Nurse Practitioner | 13400 E Shea Blvd., Scottsdale, AZ 85259 | 2013-12-02 |
| 1598107070 | Wen D Tan | Physician Assistant | 13400 E. Shea Blvd, Scottsdale, AZ 85259 | 2013-07-24 |
| 1417295809 | Kristen L. Schaefer | Physician Assistant | 13400 E Shea Blvd Ste 100, Scottsdale, AZ 85259 | 2013-01-21 |
| 1518210004 | Ruth Aida Kosak | Podiatrist | 11390 E Via Linda #102, Scottsdale, AZ 85259 | 2012-10-21 |
| 1346590536 | Mairead Doherty | Internal Medicine | 13400 E. Shea Blvd., Scottsdale, AZ 85259 | 2012-09-14 |
| Find all providers in zip 85259 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010298 | Katherine Ann Dulin | Physician Assistant | 6633 E Greenway Pkwy Apt 2045, Scottsdale, AZ 85254-2036 | 2020-07-22 |
| 1184242141 | Ashley Barnhill | Physician Assistant | 4848 N Goldwater Blvd Unit 3027, Scottsdale, AZ 85251-1050 | 2020-07-07 |
| 1801413653 | Alexandra Caitlin Mull | Physician Assistant | 2929 N 70th St Apt 2050, Scottsdale, AZ 85251-6351 | 2020-06-28 |
| 1730715582 | Alexandra Rene Thomas | Physician Assistant | 4383 N Parkway Ave Apt 506, Scottsdale, AZ 85251-4025 | 2020-03-12 |
| 1336782390 | Zaid Sidi | Physician Assistant | 8419 E Quarterhorse Trl, Scottsdale, AZ 85258-1365 | 2019-10-22 |
| 1013578327 | Kelley Ann Stapleton | Physician Assistant | 5231 E Poinsettia Dr, Scottsdale, AZ 85254-4702 | 2019-06-26 |
| 1629638093 | Melissa Jean Bere | Physician Assistant | 8896 E Becker Ln Ste 104, Scottsdale, AZ 85260-6281 | 2019-06-18 |
| 1619534682 | Caitlin Nicole Slaughter | Physician Assistant | 10125 E Bloomfield Rd, Scottsdale, AZ 85260-5159 | 2019-05-24 |
| 1215590138 | Kaylee Newsome | Physician Assistant | 9813 E Mirasol Cir, Scottsdale, AZ 85260-2191 | 2019-04-16 |
| 1639641566 | Richele Leann Smart | Physician Assistant | 9060 E Via Linda Ste 250, Scottsdale, AZ 85258-5425 | 2018-12-17 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85259 |
Please comment or provide details below to improve the information on BRANDON ROBERT BRAAKSMA.
| 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.