Provider Demographics
NPI:1427105048
Name:BRIMACOMBE, SEAN JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:JOSEPH
Last Name:BRIMACOMBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9700 N 91ST ST
Mailing Address - Street 2:STE B108
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5036
Mailing Address - Country:US
Mailing Address - Phone:602-258-8500
Mailing Address - Fax:602-258-8510
Practice Address - Street 1:4614 E SHEA BLVD
Practice Address - Street 2:D-160
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3070
Practice Address - Country:US
Practice Address - Phone:602-258-8500
Practice Address - Fax:602-258-8510
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36412207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery