Dr. Jeromy Brink
Vascular Surgeon
6040 N 7th St Ste 105
Phoenix
, Arizona 85014-1803
Dr. Jeromy Brink
Vascular Surgeon
6040 N 7th St Ste 105
Phoenix
, Arizona 85014-1803
(602) 258-9904
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeromy Brink
- 2320 N 3rd St
- Phoenix, AZ
- Zip : 85004-1303
- Fax : (602) 258-9904
- Phone : (602) 258-9900
Second Address
- Dr. Jeromy Brink
- 6040 N 7th St Ste 105
- Phoenix, AZ
- Zip : 85014-1803
- Fax : (602) 279-5333
- Phone : (602) 277-7430
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 31491 | AZ |
National Provider Identifier
| NPI | 1003876269 |
|---|---|
| Provider Name | Dr. Jeromy Brink |
| First Address | Phoenix, AZ 85004-1303 |
| Second Address | Phoenix, AZ 85014-1803 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2006 |
| Last Update Date | 21/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 793910 | (05) | AZ |
| H11870 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.