Regen Advanced Infusion and Wellness

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

REGEN ADVANCED INFUSION AND WELLNESS

Practice address

14067 W Cypress St
Goodyear, AZ 85395-5703

Phone

(602) 380-4090

NPI assigned

Jan 8, 2022

Organization subpart

No

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

Authorized official

Name

Bruce Daniel Bishop, MD

Title

Partner

Phone

(480) 341-5174

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Daniel Bishop, M.D.

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1669522587
  NPD

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1083375307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14067 W CYPRESS ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853955703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14067 W CYPRESS ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853955703",
            "telephone_number": "602-380-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN ADVANCED INFUSION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "480-341-5174",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dbishop@regeninfusions.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "work email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14067 W Cypress St",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853955703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Red Mountain Dermatology LLC
• Cynthia Dianne Reed, D.O.
• Kelly E Reed, PT
• Jackellyn Veronica Reeves
• Diana Alyss Regalado, SLPA
• Mikayla Rekken, DDS
• Releto Enterprise LLC
• Reliable Behavior Home Care LLC
• Heather Leonard Renc, DMD
• Nicole Rerucha, LPC

• Emergency Medicine Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.