BRIAN HUALDE
NPI 1376178772
Nurse Practitioner - Pediatrics in Phoenix, AZ

Q: What is Brian Hualde's NPI number?

The NPI number for Brian Hualde is 1376178772. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Q: What is Brian Hualde's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Brian Hualde was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since March 05, 2020PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0016(602) 933-4318 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2020, Jul 1, 2020, Mar 5, 2020 (3 updates tracked since 2020).

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About Brian Hualde NPPES

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

BRIAN HUALDE (NPI 1376178772) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (241654) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376178772

Entity TypeIndividualMale

Primary Taxonomy363LP0200X

Provider Legal NameBRIAN HUALDE

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814 · Fax (602) 933-8972

Phone(602) 933-0016

Fax(602) 933-4318

Sole ProprietorNo

Enumeration DateMarch 5, 2020

Last NPPES UpdateDecember 10, 20203 updates tracked since enumeration

NPPES CertifiedDecember 10, 2020

✔ NPI 1376178772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AZ · 241654

Also ListedRegistered NurseTaxonomy 163W00000X · License RN183515 (AZ)

1919 E THOMAS RD, Phoenix, AZ 85016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Hualde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. TIMUR RAGHIB M.D.

Hospitalist