Provider Demographics
NPI:1588669584
Name:ALPERIN, ADAM BRETT (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:BRETT
Last Name:ALPERIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2545 W FRYE RD
Mailing Address - Street 2:STE 9
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6273
Mailing Address - Country:US
Mailing Address - Phone:480-505-4258
Mailing Address - Fax:
Practice Address - Street 1:6301 S. MCCLINTOCK DR. #215
Practice Address - Street 2:KIRSTEN SORENSEN
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283
Practice Address - Country:US
Practice Address - Phone:480-820-6657
Practice Address - Fax:480-730-0803
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ26293207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ495045Medicaid
AZG93854Medicare UPIN
AZ63958Medicare ID - Type Unspecified