Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brett Dusenberry, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104274430

Brett Dusenberry, MD is a Sports Medicine in Tucson, Arizona. Qualified in 2016, 10 years ago. Practices with Sparcc Professional Corporation, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5199 E Farness Dr Ste 101
Tucson, AZ 85712-2262
Phone: (520) 222-8076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Childrens Ave, Oklahoma City, OK 73104-4637 — (405) 271-4417

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 60604 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104274430
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2016
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020
Mailing address5199 E Farness Dr Ste 101, Tucson, AZ 85712-2262

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sparcc Professional Corporation — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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