Brentin Lee Roller
Internal Medicine (Infectious Disease)

Address: 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2759
Phone: 6027890344

Brentin Lee Roller (NPI# 1134483050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1134483050
Entity Type Individual
Full Name Brentin Lee Roller
Credential D.O.
Gender Male
Practice Address 2510 W Dunlap Ave
Ste 290
Phoenix
AZ 85021-2759
Practice Telephone 6027890344
Practice Fax Number 6028707566
Mailing Address 2510 W Dunlap Ave
Ste 290
Phoenix
AZ 85021-2759
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2012-06-26
Last Update Date 2016-09-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RI0200X Internal Medicine · Infectious Disease Allopathic & Osteopathic Physicians 006943 AZ

Physician Overview

NPI 1134483050
PAC ID by PECOS 2365730322
Professional Enrollment ID I20161007001028
Full Name Brentin Lee Roller
Organization Legal Name HOSPITALISTS OF ARIZONA, INC
Phone Number 5203275461
Gender M
Graduation Year 2012
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 2163335290
Number of Group Practice Members 91
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030064 BANNER-UNIVERSITY MEDICAL CENTER TUCSON CAMPUS

Office Location

Street Address 2510 W DUNLAP AVE
STE 290
City PHOENIX
State AZ
Zip Code 85021-2759

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578564860 Hospitalists of Arizona, Inc Internal Medicine 2510 W Dunlap Ave, Suite 290, Phoenix, AZ 85021-2737 2005-08-09
1629519335 Helen Tagormacon Ferrer-irwin Nurse Practitioner 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2737 2017-03-14
1508305954 Wendy Ann Herrington Nurse Practitioner 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2737 2017-02-17
1265978399 Windy Marie Tulino Nurse Practitioner 2510 W Dunlap Ave, #290, Phoenix, AZ 85021-2737 2017-01-12
1881140259 Tandra A Garvin Nurse Practitioner 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2737 2016-08-26
1770933780 Melissa Ann Ritzen Nurse Practitioner 2510 W Dunlap Ave, Ste 290, Phoenix, AZ 85021-2759 2016-06-21
1528412277 Leonila Purisima Jequinto Nurse Practitioner 2510 W Dunlap Ave, Suite 290, Phoenix, AZ 85021-2737 2016-04-19
1235592056 Geana Terry Nurse Practitioner 2510 W Dunlap Ave, Suite 290, Phoenix, AZ 85021-2737 2016-03-30
1689067969 Rachel Wilkins Nurse Practitioner 2510 W Dunlap Ave, Suite 290, Phoenix, AZ 85021-2737 2015-03-11
1700282597 Melissa Lynn Moltz Nurse Practitioner 2510 W Dunlap Ave, Phoenix, AZ 85021-2737 2014-11-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336614858 Teresa Dejesus Loera Registered Nurse 2135 W. Myrtle Ave, Phoenix, AZ 85021 2018-10-11
1861967481 Southwest Family Naturopathic Clinic Pllc Naturopath 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 2018-10-10
1184101461 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 2018-07-19
1568970150 Alycia Ann Poloni Occupational Therapist 7129 N 23d Ave, Phoenix, AZ 85021 2018-01-17
1154839165 Cyrus Professional Corporation Dentist 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 2018-01-12
1477064665 Jill Marie Zdan Naturopath 1530 W Glendale Ave Ste 106, Phoenix, AZ 85021 2017-10-16
1568980779 Marla Jean Clay Licensed Practical Nurse 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 2017-09-07
1801325162 Kaitlin King Nurse Practitioner 8824 N 9th Ave, Phoenix, AZ 85021 2017-06-08
1225564545 Successful Journeys, LLC Community Based Residential Treatment Facility, Mental Illness 2106 W Vista Avenue, Phoenix, AZ 85021 2017-05-05
1477093193 Iwc West LLC Internal Medicine 2338 W Royal Palm Road, Suite J, Phoenix, AZ 85021 2017-02-28
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942580329 Izona Ira Bock Internal Medicine 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016 2011-08-17
1417129958 Victor N. Gan Internal Medicine 1526 W Wilshire Dr, Phoenix, AZ 85007-1216 2008-03-25
1205027646 Phoenix Id LLC Internal Medicine 340 E Palm Ln Ste 100, Phoenix, AZ 85004-4528 2007-08-08
1285839795 Madhuri Segireddy Internal Medicine 340 E Palm Lane, A260, Phoenix, AZ 85004 2007-06-15
1356553986 Desert Valley Infectious Disease Physicians Internal Medicine 233 W Lamar Rd, Phoenix, AZ 85013-1219 2007-05-04
1588717334 Walid Jamil Almuti Internal Medicine 19841 N 27th Ave Ste 403, Phoenix, AZ 85027 2007-01-18
1477664605 Jones O Kumi M D P C Internal Medicine 2610 N 3rd St Ste A, Phoenix, AZ 85004-1156 2006-08-31
1669408092 Leonor A Echevarria Internal Medicine 1300 N 12th St Ste 600, Phoenix, AZ 85006-2850 2006-06-25
1790737138 Patrick Aidan Murphy Internal Medicine 57 Blenheim Farm Ln, Phoenix, MD 21131-2136 2006-05-16
1396703757 Daniel Marino Internal Medicine 128 W Marlette Ave, Phoenix, AZ 85013-1524 2006-05-03
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Competitor

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City PHOENIX
Zip Code 85021

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Dataset Information

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.

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