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

Individual provider Surgery Physician · NPI 1194780262

Dr. Brian Soongyong Ju, MD is a General Surgery in Mesa, Arizona. Graduated from Medical College of Pennsylvania in 1995, 31 years ago. Practices with Surgical Professionals Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
31
Trained at
Medical College of Pennsylvania
Licensed in
AZ
In the registry since
2006
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

4135 S Power Rd Ste 117
Mesa, AZ 85212-3625
Phone: (480) 892-2456
Fax: (480) 892-2458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 33676 (AZ)

Record details

NPI number1194780262
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF PENNSYLVANIA
Graduated 1995 (31 years in practice)
Group practice Surgical Professionals Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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