Individual provider Active NPI

Rex D. Bryce, M.D.

  • Orthopaedic Surgery Physician
  • Safford, AZ
National Provider Identifier
1114973153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
26875 Issued in AZ
Practice address
2270 W 16TH St
Safford, AZ 85546-4081
Phone
(928) 348-3703
Fax
(928) 348-3705
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 26875 AZ Primary

Addresses

Primary practice location

2270 W 16TH St
Safford, AZ 85546-4081

Mailing address

2270 W 16TH St
Safford, AZ 85546-4081
Phone (928) 348-3703

Other identifiers 1

IdentifierTypeStateIssuer
528044MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120413000240 AZ Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3870701899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Mayo Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Graham Regional Medical Center Inc 64 clinicians

Practice addresses (Care Compare)

1600 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 348-4000

Hospital & facility affiliations

  • Mt. Graham Regional Medical Center Hospital, Safford, AZ, CCN 031319
  • Northern Cochise Community Hospital, Inc. Hospital, Willcox, AZ, CCN 031302

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26875AZMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ponderosa Aviation, Inc Current Accepting new patients
Ponderosa Aviation, Inc CurrentSince Jun 12, 2019 Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince Jan 1, 2012 Accepting new patients

Locations

2270 W 16th St
Safford, AZ 85546
Phone (928) 348-3700

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Copper Mountain ClinicSafford, AZ, CCN 038503 Rural health clinic Corporate Director Jan 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114973153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 W 16TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464081",
            "telephone_number": "928-348-3703",
            "fax_number": "928-348-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 W 16TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464081",
            "telephone_number": "928-348-3703",
            "fax_number": "928-348-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYCE",
        "first_name": "REX",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "26875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528044",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

Verify at the official NPI Registry.