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Brandon Sean Trujillo

Physician β€’ Phoenix, AZ

Active NPI 1255099628 Individual Practitioner Male Practitioner
Practice location in NPPES

1111 E Mcdowell Rd
Phoenix, AZ 850062612

Call 6028392000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1111 E Mcdowell Rd

Phoenix, AZ 850062612

Telephone 6028392000
Organization at the Same NPPES Address or Phone
Banner Imaging Associates Plc Facility NPI 1124077755

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Brandon Trujillo has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Brandon Trujillo as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-16
General Acute Care Hospital Primary Specialty

NUCC Taxonomy Code: 282N00000X

License # reported to NPPES AZ H0016

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Medical License
R82410 (AZ)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - GENERAL SURGERY

Medicare Enrollment ID

I20250620003691

Enrollment State Jurisdiction

NM

PECOS Control ID

6406368950

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Dr. Kaelin Bernier , DO

Internal Medicine

NPI 1205455326

Doctor of Osteopathic Medicine (D.O.)

NPI 1093101131

Doctor of Osteopathic Medicine (D.O.)

Mason Easterling , CRNA

Nurse Anesthetist, Certified Registered

NPI 1124867908

Certified Registered Nurse Anesthetist

Dr. Ahmed Elmaadawi , MD

Psychiatry & Neurology - Psychiatry

NPI 1114189305

Doctor of Medicine (M.D.)

Brandon Forester , PA

Physician Assistant - Surgical

NPI 1104124007

Physician Assistant

Marie Anne Gue , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063581130

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location July 16, 2026

Registered at 1111 E MCDOWELL RD, PHOENIX, AZ 850062612 (Tel: 6028392000)

πŸ“
Updated Business Mailing Address July 16, 2026

Registered at 2901 N CENTRAL AVE STE 160, PHOENIX, AZ 850122702 (Tel: 6027474000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2026

General Acute Care Hospital (license number reported to NPPES: AZ H0016)

πŸ“
Updated Business Mailing Address April 15, 2025

Registered at MSC10 5610 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5052724161)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2025

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active December 02, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 02, 2021

Registered at 2211 LOMAS BLVD NE, ALBUQUERQUE, NM 871062719 (Tel: 5052723414)

πŸ“
Business Mailing Address (Initial Record) December 02, 2021

Registered at MSC08 4700 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5052728239)

πŸ‘€
Provider Name / Credentials (Initial Record) December 02, 2021

Recorded as BRANDON TRUJILLO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 02, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255099628
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2021
Last Update: July 16, 2026
Sole Proprietor: No

Mailing Address

2901 N Central Ave Ste 160

Phoenix, AZ 850122702

Phone: 6027474000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.