DR. KIMBERLY BROWN BROCKENBROUGH M.D.
NPI 1205864204
Radiology - Diagnostic Radiology in Phoenix, AZ
About Dr. Kimberly Brown Brockenbrough M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY BROWN BROCKENBROUGH M.D. (NPI 1205864204) is an individual diagnostic radiology provider in Phoenix, Arizona, licensed in Arizona (77183) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kimberly Brown Brockenbrough M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
11Medicare enrollment records show Kimberly Brockenbrough reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85008
- Reassigned Medicare billing, Arizona enrollment
- 1,490 clinicians in this Medicare group
Lakewood, CO 80228
- Reassigned Medicare billing, Colorado and Washington enrollments
- 63 clinicians in this Medicare group
Laredo, TX 78041
- Reassigned Medicare billing, Washington enrollment
Vancouver, WA 98662
- Reassigned Medicare billing, Washington enrollment
- 204 clinicians in this Medicare group
Kirkland, WA 98034
- Reassigned Medicare billing, Washington enrollment
- 196 clinicians in this Medicare group
Tonasket, WA 98855
- Reassigned Medicare billing, Washington enrollment
- 197 clinicians in this Medicare group
Edmonds, WA 98026
- Reassigned Medicare billing, Washington enrollment
- 200 clinicians in this Medicare group
Shelbyville, IN 46176
- Reassigned Medicare billing, Washington enrollment
Greenfield, IN 46140
- Reassigned Medicare billing, Indiana enrollment
- 166 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Summit Radiology PC
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marion General Hospital
Acute Care Hospitals · Marion, INLutheran Hospital Of Indiana
Acute Care Hospitals · Fort Wayne, INHenry County Memorial Hospital
Acute Care Hospitals · New Castle, INKosciusko Community Hospital
Acute Care Hospitals · Warsaw, INAdams Memorial Hospital
Critical Access Hospitals · Decatur, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
PHOENIX, AZ 85008
PHOENIX, AZ 85008
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberly Brockenbrough's NPI number?
The NPI number for Kimberly Brockenbrough is 1205864204. It was assigned to this individual provider in the NPPES registry on June 29, 2006.
Where is Kimberly Brockenbrough located?
Kimberly Brockenbrough practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5011.
What is Kimberly Brockenbrough's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kimberly Brockenbrough enrolled in Medicare?
Yes. Kimberly Brockenbrough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kimberly Brockenbrough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Brockenbrough reassigns Medicare benefits to 11 organizations: District Medical Group, Inc (Phoenix, AZ), Colorado Imaging Associates P C (Lakewood, CO), Deliverrad PLLC (Laredo, TX), Radia Imaging Center Holdings LLC (Vancouver, WA), Evergreen Radia LLC (Kirkland, WA) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Brockenbrough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Brockenbrough accept?
Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, CareSource, Imperial Insurance Companies, Inc. and Premera Blue Cross Blue Shield of Alaska list Kimberly Brockenbrough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kimberly Brockenbrough affiliated with any hospitals?
According to CMS data, Kimberly Brockenbrough is affiliated with Marion General Hospital, Lutheran Hospital Of Indiana, Henry County Memorial Hospital, Kosciusko Community Hospital and Adams Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Brockenbrough was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kimberly Brown Brockenbrough, M.D. · NPI 1205864204
Diagnostic Radiology physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1205864204 (Entity type: Individual)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 77183 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 2601 E ROOSEVELT ST, Phoenix, AZ 85008-4973
- **Phone:** (602) 344-5011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): District Medical Group, Inc (NPI 1043443237, Phoenix, AZ); Colorado Imaging Associates P C (NPI 1255306726, Lakewood, CO); Deliverrad PLLC (NPI 1316449234, Laredo, TX); Radia Imaging Center Holdings LLC (NPI 1154942886, Vancouver, WA); Evergreen Radia LLC (NPI 1922095694, Kirkland, WA); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** May 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205864204) · Data from the CMS NPPES public registry.