DR. BRIAN FOUNTAIN MCCRARY (NPI# 1972597490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972597490 |
| Entity Type | Individual |
| Full Name | DR. BRIAN FOUNTAIN MCCRARY |
| Credential | D.O. |
| Practice Address |
1012 E Willetta St Phoenix AZ 85006-2749 |
| Mailing Address |
Po Box 11773 Chandler AZ 85248-0013 |
| Practice Telephone | 6028396040 |
| Mailing Telephone | 4809077707 |
| Mailing Fax Number | 4809077097 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2014-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
2269 | AZ | Allopathic & Osteopathic Physicians |
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
4328 | SD | Allopathic & Osteopathic Physicians |
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
K4950 | TX | Allopathic & Osteopathic Physicians |
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
2269 | AZ | Allopathic & Osteopathic Physicians |
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
2191 | IA | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
6289 | WY | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
836 | NV | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
A-884-89 | NM | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
29397 | CO | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
2269 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1012 E WILLETTA ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802861 | Select Specialty Hospital - Arizona Inc | Long Term Care Hospital | 1012 E Willetta St, 4th Floor, Phoenix, AZ 85006-2749 | 2005-06-24 |
| 1467096065 | Wound Care Physicians of Arizona Pllc | Podiatrist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2019-11-06 |
| 1427513621 | Angela Padilla-jones | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2019-02-01 |
| 1770052086 | Yvette M Frey | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2018-11-15 |
| 1457701732 | Natalie B Wilkinson | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-06-16 |
| 1043668544 | Samantha Bradley | Clinic/Center | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-05-25 |
| 1578910170 | Catherine Savoia | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-05-24 |
| 1952756637 | Michelle Block | Speech-Language Pathologist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-29 |
| 1861846180 | Anna Cauley | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-22 |
| 1053765339 | Renee Schulz | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639631963 | John C Lincoln, LLC | Preventive Medicine | 9202 N 2nd St, Phoenix, AZ 85020-2458 | 2019-04-04 |
| 1740489251 | Comprehensive Wound Care | Preventive Medicine | 16515 S 40th St, Suite 139, Phoenix, AZ 85048-0558 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414063 | A Breath for Life LLC | Preventive Medicine | 5626 N 51st Ave, Glendale, AZ 85301-6034 | 2019-05-30 |
| 1235776204 | Mca Medical, Pllc | Preventive Medicine | 4410 W. Union Hills, # 7, Pmb 280, Glendale, AZ 85308 | 2019-12-09 |
| 1457659708 | Comprehensivewound Care | Preventive Medicine | 13203 N 103rd Ave, Suite 1-10, Sun City, AZ 85351-3028 | 2011-03-10 |
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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.