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

Dr. Brandon Ian Roth, MD

Individual provider Interventional Pain Medicine Physician · NPI 1568849990

Dr. Brandon Ian Roth, MD is a Pain Management in Glendale, Arizona. Qualified in 2015, 11 years ago. Practices with Arizona Spine and Pain Specialists LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
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

18555 N 79th Ave Ste D101
Glendale, AZ 85308-6040
Phone: (480) 563-6400
Fax: (480) 563-8009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 60636 (AZ)
Anesthesiology Physician Taxonomy 207L00000X · Licence 60636 (AZ)

Record details

NPI number1568849990
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2015
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Arizona Spine And Pain Specialists Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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