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Deactivated NPI 1548252513 Deactivated / Inactive NPI Male Practitioner

Dr. Bruce A. Bethancourt , MD

Internal Medicine • 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, Dr. Bruce Bethancourt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Bethancourt, MD was a registered Internal Medicine practicing in Phoenix, AZ. Throughout an active medical career spanning 1 years, Dr. Bethancourt provided care at the practice location at 4400 N 32ND ST until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

4400 N 32nd St
Suite 140

Phoenix, AZ 850183953

Telephone 6022544424
Fax 6022546036
Associated Practice Facility / Clinic
🏢 Corcoran Family Medicine Pllc Facility NPI 1417902214

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 25.1 Yrs
Regional Practice Density
726 Specialists

Practicing in Phoenix, AZ (2967 Statewide)

Telehealth Adoption Rate
16.0% 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AZ MD12752

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
232562 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Lurlyn Pero , MD

Internal Medicine

NPI 1023056728

Doctor of Medicine (M.D.)

Dr. Barbara Backer , MD

Internal Medicine

NPI 1134171374

Doctor of Medicine (M.D.)

Laura Hellenthal

Nurse Practitioner - Adult Health

NPI 1164779310
Dr. Trent Smith , MD

Internal Medicine - Rheumatology

NPI 1336110576

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location February 19, 2008

Registered at 4400 N 32ND ST, SUITE 140, PHOENIX, AZ 850183953 (Tel: 6022544424)

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Updated Business Mailing Address February 19, 2008

Registered at 4400 N 32ND ST, SUITE 140, PHOENIX, AZ 850183953 (Tel: 6022544424)

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Provider Name / Credentials Updated February 19, 2008

Recorded as BRUCE BETHANCOURT, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2008

Internal Medicine (License #MD12752 in AZ)

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NPI Profile Reactivated March 30, 2006

Record officially reactivated for active practice on March 30, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration August 16, 2005

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: 1548252513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2005
Last Update: February 19, 2008
Deactivation Date: March 23, 2006
Sole Proprietor: No

Mailing Address

4400 N 32nd St, Suite 140

Phoenix, AZ 850183953

Phone: 6022544424

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.