Organization Active NPI

Aspen Family Medicine PC

  • Family Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1023130259
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASPEN FAMILY MEDICINE PC
Practice address
2912 N West St
Flagstaff, AZ 86004-1974
Phone
(928) 774-3627
Fax
(927) 774-1400
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bradley H Frank, M.D.
Title
Director
Phone
(928) 774-3627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X AZ Primary

Addresses

Primary practice location

2912 N West St
Flagstaff, AZ 86004-1974

Mailing address

2912 N West St
Flagstaff, AZ 86004-1974
Phone (928) 774-3627

Other names 1

  • Aspen Family Medicine Former legal business name

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHDFCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1023130259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 N WEST ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041974",
            "telephone_number": "928-774-3627",
            "fax_number": "927-774-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 N WEST ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041974",
            "telephone_number": "928-774-3627",
            "fax_number": "927-774-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-774-3627",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Family Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.