Physician Assistant
ELYSE BROUCEK
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770180960 · enumerated 2020-10-01 · record updated 2025-02-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 4045 E BELL RD STE 125, PHOENIX, AZ, 85032-2238 (602) 971-0268 Google Maps Apple Maps OpenStreetMap
- Mailing address 4045 E BELL RD STE 125, PHOENIX, AZ, 85032-2238 (602) 971-0268 Fax (602) 971-1556 Google Maps Apple Maps OpenStreetMap
Specialties
- Student in an Organized Health Care Education/Training Program 390200000X
- Physician Assistant 363A00000X · Primary
In this directory
Locations and evidence
-
Practice location
PHOENIX, AZ, 850322238
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.