Active NPI
Bruce A Hall, MD
- Emergency Medicine Physician
- Show Low, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25444
- Practice address
- 2200 E Show Low Lake Rd
Show Low, AZ 85901-7881 - Phone
- (928) 537-4375
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25444 | AZ | Primary |
Addresses
Primary practice location
2200 E Show Low Lake Rd
Show Low, AZ 85901-7881
Mailing address
300 W White Mountain Blvd
Ste D
Lakeside, AZ 85929-7014
Phone (928) 368-4547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405820 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Oklahoma College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4760 E Germann Rd
Gilbert, AZ 85297-0205
Phone (888) 732-3317
Hospital & facility affiliations
- Dignity Health Arizona General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tec Emergency Physicians of Arizona, LLC | Current | Accepting new patients | |
| White Mountain Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
Locations
4760 E Germann Rd
Gilbert, AZ 85297
Phone (480) 494-5000
7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100
1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300
5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1245772870
-
- Emergency Medicine Physician
- Show Low, AZ
- NPI 1710964101
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1689121188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104803493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W WHITE MOUNTAIN BLVD",
"address_2": "STE D",
"city": "LAKESIDE",
"state": "AZ",
"postal_code": "859297014",
"telephone_number": "928-368-4547",
"fax_number": "928-368-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 E SHOW LOW LAKE RD",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017881",
"telephone_number": "928-537-4375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "BRUCE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "25444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405820",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.