Dr Kimberly Brown Brockenbrough, MD - Medicare Diagnostic Radiology in Phoenix, AZ

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Dr Kimberly Brown Brockenbrough, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Phoenix, Arizona. She went to Saint Louis University School Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Summit Radiology P C, X-ray Physicians Of Shelbyville Pc, Henry County Memorial Hospital, District Medical Group Inc and her current practice location is 2601 E Roosevelt St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 344-5011.

Dr Kimberly Brown Brockenbrough is licensed to practice in Arizona (license number 77183) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205864204.

Contact Information

Dr Kimberly Brown Brockenbrough, MD
2601 E Roosevelt St,
Phoenix, AZ 85008-4973
(602) 344-5011
Not Available

Map and Direction




Physician's Profile

Full NameDr Kimberly Brown Brockenbrough
GenderFemale
SpecialityDiagnostic Radiology
Experience28 Years
Location2601 E Roosevelt St, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kimberly Brown Brockenbrough attended and graduated from Saint Louis University School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1205864204
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 04/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6305832478
  • Enrollment ID: I20140821001080

Medical Identifiers

Medical identifiers for Dr Kimberly Brown Brockenbrough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205864204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD60484894 (Washington)Secondary
2085R0202XRadiology - Diagnostic Radiology 77183 (Arizona)Primary
2085U0001XRadiology - Diagnostic Ultrasound 036107196 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Valleywise Health Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Radiology P C014329541085
X-ray Physicians Of Shelbyville Pc226442021546
Henry County Memorial Hospital6002724085136
District Medical Group Inc7315086691406

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kimberly Brown Brockenbrough allows following entities to bill medicare on her behalf.
Entity NameEvergreen Radia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922095694
PECOS PAC ID: 4587568076
Enrollment ID: O20031125000896
Entity NameOkanogan County Public Hospital Dist No 4
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750443834
PECOS PAC ID: 9335051150
Enrollment ID: O20040323000641
Entity NameSwedish Radia Imaging Center At Edmonds Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164494373
PECOS PAC ID: 5496778292
Enrollment ID: O20060106000841
Entity NameRadia Imaging Center Holdings Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639653017
PECOS PAC ID: 6305182965
Enrollment ID: O20190118000572
Entity NameSummit Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073584587
PECOS PAC ID: 0143295410
Enrollment ID: O20200713002256
Entity NameDeliverrad Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316449234
PECOS PAC ID: 6800150095
Enrollment ID: O20210805002938
Entity NameColorado Imaging Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255306726
PECOS PAC ID: 6800880055
Enrollment ID: O20220627003439
Entity NameX-ray Physicians Of Shelbyville Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144351347
PECOS PAC ID: 2264420215
Enrollment ID: O20240625000012

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kimberly Brown Brockenbrough is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kimberly Brown Brockenbrough, MD
2929 E Thomas Rd,
Phoenix, AZ 85016-8034

Ph: (602) 470-5000		Dr Kimberly Brown Brockenbrough, MD
2601 E Roosevelt St,
Phoenix, AZ 85008-4973

Ph: (602) 344-5011

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.