Updegraff Clinic for Allergy & Dermatology PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

10896 Issued in AZ

Legal business name

UPDEGRAFF CLINIC FOR ALLERGY & DERMATOLOGY PC

Practice address

14666 N del Webb Blvd
Sun City, AZ 85351-2137

Phone

(623) 933-3107

Fax

(623) 972-1418

NPI assigned

Nov 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Robert Updegraff, M.D.NPI 1710971320

Title

President

Phone

(623) 933-3107

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Robert Updegraff, MD

  • Clinical & Laboratory Dermatological Immunology Physician
  • Sun City, AZ
  • NPI 1710971320
  Medicare reassignment Care Compare group NPD Authorized official
• Eric Day, PA-C

  • Dermatology Physician
  • Sun City, AZ
  • NPI 1437166840
  Medicare reassignment Care Compare group
• Devon Nicole Updegraff, PA-C

  • Physician Assistant
  • Sun City, AZ
  • NPI 1528218930
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1073767240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14666 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512137",
            "telephone_number": "623-933-3107",
            "fax_number": "623-972-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14666 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512137",
            "telephone_number": "623-933-3107",
            "fax_number": "623-972-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPDEGRAFF CLINIC FOR ALLERGY & DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "UPDEGRAFF",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-933-3107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "10896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Seiji Umemoto, M.D
• Uni Kim Lidner DDS PLLC
• Unique Care Medical LLC
• United Respiratory Services, LLC (Valley Respiratory Services)
• Unity Healthcare Services LLC
• Bryan Robert Updegraff, MD
• Devon Nicole Updegraff, PA-C
• Upendra C Patel MD PLLC
• Baljeet S Uppal, MD
• Rafael Thomas Urcis, M.D.

• Medical Specialty Clinic/Center in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Medical Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.