BRANDI EKSTROM C.O.A., S.T.
NPI 1114308426
Specialist/Technologist, Other - Surgical Assistant in Phoenix, AZ

Q: What is Brandi Ekstrom's NPI number?

The NPI number for Brandi Ekstrom is 1114308426. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Q: What is Brandi Ekstrom's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Brandi Ekstrom was last updated on June 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2015

1750 E GLENDALE AVE, PHOENIX, AZ 85020(602) 242-4928(602) 249-4813 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Brandi Ekstrom C.o.a., S.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDI EKSTROM C.O.A., S.T. (NPI 1114308426) is an individual surgical assistant in Phoenix, Arizona and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1114308426

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameBRANDI EKSTROMCredential: C.O.A., S.T.

Location Address1750 E GLENDALE AVEPhoenix, AZ 85020-5505

Mailing Address1750 E Glendale AvePhoenix, AZ 85020-5505 · (602) 242-4928 · Fax (602) 249-4813

Phone(602) 242-4928

Fax(602) 249-4813

Sole ProprietorNo

Enumeration DateJune 11, 2015

✔ NPI 1114308426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

1750 E GLENDALE AVE, Phoenix, AZ 85020

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Other Identifiers 1

Other159165AZ · Jcahpo

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA P REYES ST

Technician/Technologist