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Deactivated NPI 1144349481 Deactivated / Inactive NPI Male Practitioner

Reginald Andre Trotter , BA

Contractor • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Reginald Trotter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2007
NPI Deactivation Date November 17, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Reginald Trotter, BA was a registered Contractor practicing in Phoenix, AZ. Throughout an active medical career spanning 15 years, Reginald Trotter provided care at the practice location at 1728 E ALICIA DR until profile deactivation on 2022-11-17.

Practice Location & Contact Primary Location

Practice Address

1728 E Alicia Dr

Phoenix, AZ 850426831

Telephone 6022689326

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
52 Specialists

Practicing in Phoenix, AZ (348 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License AZ 10001

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 17, 2022

Record deactivated on November 17, 2022

NPI Profile Active October 23, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 23, 2007

Registered at 1728 E ALICIA DR, PHOENIX, AZ 850426831 (Tel: 6022689326)

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Updated Business Mailing Address October 23, 2007

Registered at 1728 E ALICIA DR, PHOENIX, AZ 850426831 (Tel: 6022689326)

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Provider Name / Credentials Updated October 23, 2007

Recorded as REGINALD TROTTER, BA

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2007

Contractor (License #10001 in AZ)

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Initial NPI Registration & Enumeration March 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144349481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2007
Last Update: October 23, 2007
Deactivation Date: November 17, 2022

Mailing Address

1728 E Alicia Dr

Phoenix, AZ 850426831

Phone: 6022689326

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.