Healthcare Provider Details

I. General information

NPI: 1982232542
Provider Name (Legal Business Name): BRIGGS STEWART HOYT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6677 W THUNDERBIRD RD STE 101
GLENDALE AZ
85306-3709
US

IV. Provider business mailing address

6677 W THUNDERBIRD RD STE F101
GLENDALE AZ
85306-3723
US

V. Phone/Fax

Practice location:
  • Phone: 623-878-3939
  • Fax: 623-878-5567
Mailing address:
  • Phone: 623-878-3939
  • Fax: 623-878-5567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.076524
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number125.076524
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA195178
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License NumberA195178
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number77134
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: