Active NPI 1679530109 Individual Practitioner Male Practitioner

Dr. Brad R Bruns , MD

Orthopaedic Surgery • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brad Bruns, MD is a certified Orthopaedic Surgery practicing in Phoenix, AZ. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Bruns delivers high-quality medical care to the local community at 5355 E HIGH ST UNIT 113.

Dr. Bruns is affiliated with Orthopedic Specialists Of North America Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg, hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg, injection, methylprednisolone acetate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5355 E High St Unit 113

Phoenix, AZ 850545481

Telephone 6026485444

Fax 6027723801

Associated Practice Facility / Clinic

🏢 Orthopedic Specialists Of North America, Pllc Facility NPI 1629664123

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +17.4 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

144 Specialists

Practicing in Phoenix, AZ (501 Statewide)

Telehealth Adoption Rate

9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bruns (42 Years) 42 Yrs

Phoenix Specialty Average (24.6 Years) 24.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	38,472	62	$3.00	$0.51
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	7,701	102	$40.00	$7.26
J1010 Injection, methylprednisolone acetate, 1 mg	2,122	21	$0.35	$0.13
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,140	16	$51.25	$6.62
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,137	344	$30.00	$6.97
20610 Aspiration and/or injection of fluid from large joint	1,007	493	$231.12	$70.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	669	488	$324.00	$124.33
99213 Established patient office or other outpatient visit, typically 15 minutes	315	262	$221.00	$88.35
73562 X-ray of knee, 3 views	284	220	$110.00	$39.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	204	204	$323.00	$107.82
73502 X-ray of hip, 2-3 views	155	129	$127.00	$46.00
73560 X-ray of knee, 1-2 views	100	85	$96.00	$33.12
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	96	26	$325.00	$126.00
73030 X-ray of shoulder, minimum of 2 views	72	55	$89.00	$33.73
27446 Repair of knee joint	39	38	$3603.08	$1102.49
27447 Replacement of knee joint, both sides of knee	37	35	$4107.00	$1236.77
27130 Replacement of thigh bone and hip joint with prosthesis	36	36	$4109.00	$1238.50
73521 X-ray of both hips, 2 views	24	24	$114.00	$39.96
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	23	14	$1400.00	$684.98
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$109.00	$38.61
73564 X-ray of knee, 4 or more views	15	14	$123.00	$45.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	85,344	97	$3.00	$0.71
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	1,925	19	$40.00	$8.56
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,184	359	$29.96	$6.55
20610 Aspiration and/or injection of fluid from large joint	1,055	479	$245.86	$73.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	784	533	$324.00	$123.57
73562 X-ray of knee, 3 views	300	230	$110.00	$39.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	247	247	$323.00	$108.72
99213 Established patient office or other outpatient visit, typically 15 minutes	189	173	$221.00	$87.35
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	156	31	$325.00	$124.35
73502 X-ray of hip, 2-3 views	136	118	$127.00	$45.57
73560 X-ray of knee, 1-2 views	101	97	$96.00	$33.25
73030 X-ray of shoulder, minimum of 2 views	52	45	$89.00	$32.98
27130 Replacement of thigh bone and hip joint with prosthesis	39	38	$4109.00	$1242.87
27446 Repair of knee joint	38	35	$3605.45	$1125.95
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	34	22	$1400.00	$698.90
27447 Replacement of knee joint, both sides of knee	32	32	$4107.00	$1241.62
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$109.00	$38.73
29881 Removal of knee cartilage using an endoscope	12	12	$1636.00	$528.15
73521 X-ray of both hips, 2 views	11	11	$114.00	$40.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	28,728	43	$2.98	$1.95
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	4,578	55	$40.63	$10.73
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,260	395	$25.78	$6.67
20610 Aspiration and/or injection of fluid from large joint	1,038	495	$227.34	$70.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	903	570	$324.00	$124.93
73562 X-ray of knee, 3 views	283	220	$110.00	$40.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	253	253	$323.00	$109.41
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	248	63	$325.00	$147.84
73502 X-ray of hip, 2-3 views	160	136	$127.00	$45.49
73560 X-ray of knee, 1-2 views	97	87	$96.00	$33.45
73030 X-ray of shoulder, minimum of 2 views	72	60	$89.00	$33.86
99213 Established patient office or other outpatient visit, typically 15 minutes	43	43	$221.00	$88.52
27130 Replacement of thigh bone and hip joint with prosthesis	39	36	$4109.00	$1257.89
27446 Repair of knee joint	35	34	$3513.00	$1131.71
27447 Replacement of knee joint, both sides of knee	32	32	$4107.00	$1259.68
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	15	11	$1400.00	$743.89
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$109.00	$39.24
29881 Removal of knee cartilage using an endoscope	12	12	$1636.00	$532.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	51,360	72	$2.50	$2.18
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	2,640	29	$51.25	$17.25
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,331	405	$25.00	$6.98
20610 Aspiration and/or injection of fluid from large joint	1,052	477	$227.79	$71.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,021	609	$324.00	$127.27
73562 X-ray of knee, 3 views	367	283	$110.00	$39.21
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	274	54	$325.00	$136.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	226	226	$323.00	$110.15
73502 X-ray of hip, 2-3 views	140	124	$127.00	$45.19
73560 X-ray of knee, 1-2 views	79	75	$96.00	$33.39
99213 Established patient office or other outpatient visit, typically 15 minutes	78	71	$221.12	$89.83
73030 X-ray of shoulder, minimum of 2 views	66	60	$89.00	$33.43
27130 Replacement of thigh bone and hip joint with prosthesis	41	40	$4109.00	$1278.37
27447 Replacement of knee joint, both sides of knee	34	34	$4107.00	$1276.77
27446 Repair of knee joint	33	32	$3513.00	$1147.83
72100 X-ray of lower and sacral spine, 2-3 views	31	30	$109.00	$38.80
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	22	17	$950.00	$950.00
29881 Removal of knee cartilage using an endoscope	16	16	$1636.00	$522.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,188	348	$25.00	$7.09
20610 Aspiration and/or injection of fluid from large joint	1,059	468	$222.66	$68.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	641	478	$324.02	$106.89
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	490	120	$325.00	$133.16
99213 Established patient office or other outpatient visit, typically 15 minutes	471	352	$221.13	$74.01
73562 X-ray of knee, 3 views	379	293	$110.00	$38.09
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	262	55	$92.00	$25.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	254	254	$323.08	$105.41
73502 X-ray of hip, 2-3 views	185	161	$127.00	$43.83
J1040 Injection, methylprednisolone acetate, 80 mg	144	113	$25.00	$11.67
73560 X-ray of knee, 1-2 views	95	85	$96.00	$32.61
73030 X-ray of shoulder, minimum of 2 views	69	59	$89.00	$31.54
72100 X-ray of lower and sacral spine, 2-3 views	42	42	$109.00	$36.28
27130 Replacement of thigh bone and hip joint with prosthesis	39	36	$4109.00	$1365.77
97140 Therapy procedure using manual technique, each 15 minutes	39	26	$84.00	$21.94
27446 Repair of knee joint	38	37	$3513.00	$1149.57
27447 Replacement of knee joint, both sides of knee	31	29	$4107.00	$1362.57
29881 Removal of knee cartilage using an endoscope	19	19	$1636.00	$543.00
J1030 Injection, methylprednisolone acetate, 40 mg	17	14	$25.00	$5.43
72170 X-ray of pelvis, 1-2 views	16	16	$98.00	$24.88
73565 X-ray of both knees while standing	13	13	$110.00	$37.83
97161 Evaluation of physical therapy, typically 20 minutes	12	12	$255.00	$84.85
73522 X-ray of both hips, 3-4 views	11	11	$149.00	$50.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,653	202	$89.14	$25.85
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,266	14	$18.91	$11.27
20610 Aspiration and/or injection of fluid from large joint	1,145	509	$236.12	$65.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	859	630	$304.95	$107.22
J1040 Injection, methylprednisolone acetate, 80 mg	730	425	$25.00	$12.12
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	445	107	$325.00	$215.38
99213 Established patient office or other outpatient visit, typically 15 minutes	430	305	$212.91	$73.15
73562 X-ray of knee, 3 views	422	321	$105.44	$36.30
97140 Therapy procedure using manual technique, each 15 minutes	370	128	$82.83	$21.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	320	320	$304.93	$106.36
64640 Destruction of peripheral nerve or branch	286	92	$558.97	$89.25
73502 X-ray of hip, 2-3 views	254	198	$124.24	$41.86
97035 Application of ultrasound, each 15 minutes	157	53	$39.68	$10.71
73560 X-ray of knee, 1-2 views	148	130	$92.31	$31.49
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	122	45	$50.00	$10.43
73030 X-ray of shoulder, minimum of 2 views	86	77	$86.40	$29.60
J1030 Injection, methylprednisolone acetate, 40 mg	75	54	$25.00	$6.32
27447 Replacement of knee joint, both sides of knee	61	59	$4386.54	$1357.66
97161 Evaluation of physical therapy, typically 20 minutes	60	59	$254.33	$84.34
27130 Replacement of thigh bone and hip joint with prosthesis	54	51	$4345.89	$1358.34
27446 Repair of knee joint	47	46	$3584.70	$1125.16
72100 X-ray of lower and sacral spine, 2-3 views	37	35	$107.05	$35.11
29881 Removal of knee cartilage using an endoscope	24	24	$1877.00	$541.06
72170 X-ray of pelvis, 1-2 views	18	15	$95.44	$32.37
73565 X-ray of both knees while standing	17	17	$99.71	$36.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$134.00	$44.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	9,748	16	$2.57	$2.30
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,425	186	$75.00	$24.88
20610 Aspiration and/or injection of fluid from large joint	1,172	491	$287.20	$52.70
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,104	16	$19.80	$11.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	955	589	$200.00	$102.13
J1040 Injection, methylprednisolone acetate, 80 mg	678	399	$25.00	$12.96
73562 X-ray of knee, 3 views	369	280	$75.00	$33.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	319	319	$200.00	$102.49
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	290	80	$325.00	$141.03
97140 Therapy procedure using manual technique, each 15 minutes	287	123	$75.00	$20.98
99213 Established patient office or other outpatient visit, typically 15 minutes	251	200	$150.00	$69.34
64640 Destruction of peripheral nerve or branch	220	69	$1200.00	$85.69
73502 X-ray of hip, 2-3 views	191	167	$81.54	$38.73
73560 X-ray of knee, 1-2 views	149	121	$75.00	$29.16
J1030 Injection, methylprednisolone acetate, 40 mg	144	66	$25.00	$6.67
97035 Application of ultrasound, each 15 minutes	133	52	$25.00	$10.17
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	84	37	$50.00	$10.31
73030 X-ray of shoulder, minimum of 2 views	76	65	$75.00	$27.80
27446 Repair of knee joint	52	50	$3924.04	$1102.81
72100 X-ray of lower and sacral spine, 2-3 views	50	49	$100.00	$33.22
27130 Replacement of thigh bone and hip joint with prosthesis	48	48	$5175.00	$1284.40
97161 Evaluation of physical therapy, typically 20 minutes	40	39	$250.00	$80.45
27447 Replacement of knee joint, both sides of knee	34	32	$5325.00	$1266.45
73565 X-ray of both knees while standing	33	33	$75.00	$33.78
97018 Application of hot wax bath	22	12	$25.00	$5.35
72170 X-ray of pelvis, 1-2 views	22	21	$75.00	$30.14
73522 X-ray of both hips, 3-4 views	19	19	$103.95	$46.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	7,056	14	$2.50	$2.31
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,392	20	$19.80	$12.51
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,079	154	$75.00	$25.80
20610 Aspiration and/or injection of fluid from large joint	1,059	422	$275.26	$51.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	680	455	$200.00	$102.45
J1040 Injection, methylprednisolone acetate, 80 mg	606	346	$25.00	$11.01
99213 Established patient office or other outpatient visit, typically 15 minutes	444	324	$150.00	$69.50
73562 X-ray of knee, 3 views	334	257	$75.00	$34.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	276	276	$200.00	$102.92
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	260	64	$325.00	$147.26
97140 Therapy procedure using manual technique, each 15 minutes	255	125	$75.00	$22.08
73560 X-ray of knee, 1-2 views	159	132	$75.00	$29.41
73502 X-ray of hip, 2-3 views	142	128	$75.00	$39.16
J1030 Injection, methylprednisolone acetate, 40 mg	81	48	$25.00	$5.67
73030 X-ray of shoulder, minimum of 2 views	80	61	$75.00	$27.48
97035 Application of ultrasound, each 15 minutes	76	48	$25.00	$9.85
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	65	35	$50.00	$9.84
64640 Destruction of peripheral nerve or branch	64	19	$1350.00	$89.16
97161 Evaluation of physical therapy, typically 20 minutes	42	42	$233.33	$77.46
27446 Repair of knee joint	41	41	$3850.00	$1113.07
97530 Therapy procedure using functional activities	37	12	$75.00	$31.88
27447 Replacement of knee joint, both sides of knee	37	35	$5468.92	$1330.04
72100 X-ray of lower and sacral spine, 2-3 views	31	31	$100.00	$32.68
27130 Replacement of thigh bone and hip joint with prosthesis	30	29	$5175.00	$1312.95
73565 X-ray of both knees while standing	24	24	$75.00	$34.13
73501 X-ray of hip with pelvis, 1 view	23	23	$50.00	$27.52
72170 X-ray of pelvis, 1-2 views	23	22	$75.00	$29.46
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	18	13	$1400.00	$867.80
29881 Removal of knee cartilage using an endoscope	15	15	$2600.00	$522.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$325.00	$157.24
73522 X-ray of both hips, 3-4 views	12	12	$100.00	$46.61

Medical Specialties & State Licenses

CMS Verified: 2023-05-16

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AZ 18587

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

284000 (AZ)

Hospital & Practice Group Affiliations

Orthopedic Specialists Of North America Pllc

5620 E Bell Rd, Scottsdale, AZ 852545950

Phone: 6023852115

Orthopedic Specialists Of North America Pllc

9237 E Via De Ventura, Scottsdale, AZ 852583329

Phone: 6026485444

Orthopedic Specialists Of North America Pllc

5355 E High St, Phoenix, AZ 850545481

Phone: 6026485444

Orthopedic Specialists Of North America Pllc

8405 N Pima Ctr Pkwy, Scottsdale, AZ 852584638

Phone: 6024939361

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Eric Novack , MD

Orthopaedic Surgery - Sports Medicine

NPI 1003881442

Doctor of Medicine (M.D.)

Clay Shorter , PA

Physician Assistant

NPI 1013233261

Physician Assistant

Kaitlyn Barth , PA-C

Physician Assistant

NPI 1013866862

Physician Assistant (Certified)

Douglas Ostrander , MS, PT

Physical Therapist

NPI 1023012887

Master of Science, Physical Therapist

Dr. Christine Altamirano , DPT

Physical Therapist

NPI 1023312402

Doctor of Physical Therapy

Theresa Koppal , PA-C

Physician Assistant

NPI 1033510508

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location May 16, 2023

Registered at 5355 E HIGH ST UNIT 113, PHOENIX, AZ 850545481 (Tel: 6026485444)

📍

Updated Business Mailing Address May 16, 2023

Registered at PO BOX 80217, PHOENIX, AZ 850600217 (Tel: 6023852115)

📍

Updated Business Mailing Address October 29, 2018

Registered at PO BOX 271429, SALT LAKE CITY, UT 841271429 (Tel: 6027723800)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2018

Orthopaedic Surgery (License #18587 in AZ)

✅

NPI Profile Active August 24, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2011

Registered at 5620 E. BELL ROAD, SCOTTSDALE, AZ 85254 (Tel: 6024939361)

📍

Updated Business Mailing Address August 24, 2011

Registered at P.O. BOX 29870, PHOENIX, AZ 850389870 (Tel: 6027723805)

👤

Provider Name / Credentials Updated August 24, 2011

Recorded as BRAD BRUNS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2011

Specialist (License #18587 in AZ)

🟢

Initial NPI Registration & Enumeration April 27, 2006

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: 1679530109

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 27, 2006

Last Update: May 16, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 80217

Phoenix, AZ 850600217

Phone: 6023852115

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.