Banner Primary Care Physicians Arizona LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

Practice address

20751 W Market St
Buckeye, AZ 85396-7893

Phone

(623) 463-5140

Fax

(623) 463-5128

NPI assigned

Jun 18, 2013

Organization subpart

Yes

Parent organization

BANNER MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Shiva Birdi

Title

Ceo

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Part of

Tiffany Weathers

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Banner Health

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  Member Of

  NPD member

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1124467600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20751 W MARKET ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853967893",
            "telephone_number": "623-463-5140",
            "fax_number": "623-463-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
        "enumeration_date": "2013-06-18",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "BIRDI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandis Hayes Baldwin, LAC
• Tina L Baldwin, FNP
• Tiarence Banda
• Neha Bandi
• Banner Estrella Medical Center
• Banner Primary Care Physicians Arizona LLC
• Alex S Barkdull
• Andrew Ashby Barrett, M.D.
• Heather Barron-Galvan, EDS
• Dane Barthule, PHARMD

• Durable Medical Equipment & Medical Supplies in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.