Jeromy Brink is a Vascular Surgery in Phoenix, Arizona. Jeromy Brink practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Jeromy Brink is 1003876269. The last update date is 2021-06-21.
Jeromy Brink's current location address is 6040 N 7th St Ste 105, Phoenix, Arizona. You can contact this provider via phone number 6022777430 and fax number 6022795333. The mailing address for Jeromy Brink is 6040 N 7th St Ste 105, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeromy Brink |
|---|---|
| Address | 6040 N 7th St Ste 105, Phoenix, Arizona |
| Phone Number | 6022777430 |
| Fax Number | 6022795333 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003876269 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2021-06-21 |
Provider Mailing Address Detail
| Address | 6040 N 7th St Ste 105 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850141803 |
| Phone Number | 6022777430 |
| Fax Number | 6022795333 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 31491 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 793910 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeromy Brink by the Centers for Medicare & Medicaid Services?
The Jeromy Brink has been issued the NPI (National Provider Identifier) 1003876269, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jeromy Brink is physically located?
The Jeromy Brink is physically situated at the following address: 6040 N 7Th St Ste 105, Phoenix, AZ, 850141803.
What is Jeromy Brink's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeromy Brink is Vascular Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003876269 to Jeromy Brink?
The Centers for Medicare & Medicaid Services assigned the 1003876269 to Jeromy Brink on 2006-03-23.
When was the information regarding Jeromy Brink, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeromy Brink, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-06-21.
NPI Number: 1447253653
Address: 1009 N State Of Franklin Access Road, Johnson City, TN
NPI Number: 1861495012
Address: 1009 North State Of Franklin Access Road, Johnson City, TN