BRAD DEROMA
NPI 1902579998
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ
About Brad Deroma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAD DEROMA (NPI 1902579998) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (LIAC-155343) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brad Deroma 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.
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 Brad Deroma's NPI number?
The NPI number for Brad Deroma is 1902579998. It was assigned to this individual provider in the NPPES registry on July 27, 2021.
Where is Brad Deroma located?
Brad Deroma practices at 15815 S Lakewood Pkwy W Apt 2016, Phoenix, AZ 85048. The listed phone number is (760) 613-6861.
What is Brad Deroma's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Brad Deroma enrolled in Medicare?
Yes. Brad Deroma 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.
What insurance does Brad Deroma accept?
Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Brad Deroma 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.
When was this NPI record last updated?
The NPPES record for Brad Deroma was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Brad Deroma · NPI 1902579998
Addiction (Substance Use Disorder) provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since July 27, 2021.
## Identity
- **NPI:** 1902579998 (Entity type: Individual)
- **Enumerated:** July 27, 2021
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** LIAC-155343 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 15815 S LAKEWOOD PKWY W APT 2016, Phoenix, AZ 85048-7291
- **Phone:** (760) 613-6861
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902579998) · Data from the CMS NPPES public registry.