Active NPI
Bruce C Davis, MD, PC
- Surgery Physician
- Mesa, AZ
National Provider Identifier
1124211545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17905
- Legal business name
- BRUCE C DAVIS, MD, PC
- Practice address
- 6242 E Arbor Ave
Ste 101
Mesa, AZ 85206-1309 - Phone
- (480) 985-9184
- Fax
- (480) 985-3107
- NPI assigned
- Aug 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra L Bulgrin
- Title
- Office Manager
- Phone
- (480) 985-9184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17905 | AZ | Primary |
Addresses
Primary practice location
6242 E Arbor Ave
Ste 101
Mesa, AZ 85206-1309
Mailing address
6242 E Arbor Ave
Ste 101
Mesa, AZ 85206-1309
Phone (480) 985-9184
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187568000000",
"number": "1124211545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6242 E ARBOR AVE",
"address_2": "STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852061309",
"telephone_number": "480-985-9184",
"fax_number": "480-985-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6242 E ARBOR AVE",
"address_2": "STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852061309",
"telephone_number": "480-985-9184",
"fax_number": "480-985-3107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE C DAVIS, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A",
"authorized_official_last_name": "BULGRIN",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "480-985-9184"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AZ",
"license": "17905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.