Healthcare Provider Details

I. General information

NPI: 1720921505
Provider Name (Legal Business Name): AXIS TRAUMA & MSK MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 W BUCKEYE RD STE 304
PHOENIX AZ
85003-2693
US

IV. Provider business mailing address

51 E 25TH ST FL 6
NEW YORK NY
10010-8207
US

V. Phone/Fax

Practice location:
  • Phone: 602-654-1494
  • Fax:
Mailing address:
  • Phone: 888-673-9070
  • Fax: 212-696-0174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL-MARIE J BRISSON
Title or Position: OWNER
Credential: MD
Phone: 212-813-3632