BSC 3 LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BSC 3 LLC

Practice address

7400 N Dobson Rd Ste 301
Scottsdale, AZ 85256-2736

Phone

(602) 362-5107

Fax

(602) 865-1865

NPI assigned

Nov 22, 2021

Organization subpart

No

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

Authorized official

Name

Aric Burke

Title

Director/Officer

Phone

(480) 689-8403

Specialties & licenses 1

Addresses

Other names 1

• Banner Surgery Center - Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

BSC 3 LLC Dba Banner Surgery Center Sports MedicineCCN 03C0001469

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1154088490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 N DOBSON RD STE 301",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852562736",
            "telephone_number": "602-362-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 N DOBSON RD STE 301",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852562736",
            "telephone_number": "602-362-5107",
            "fax_number": "602-865-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSC 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ARIC",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "480-689-8403"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banner Surgery Center - Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan Haruo Bryce, M.D.
• David Alan Bryman, D.O
• Stanley P Brysacz Jr., D.O.
• Matthew Benjamin Bryson, DC
• BSC 2 LLC
• Lina Bublys, R.N., B.S.N., IBCLC
• Lydia S Bucci, PT
• Raluca Buceschi, PHARMD
• Burgess Buchanan, NP
• Dylon Buchanan, MD

• Ambulatory Surgical Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.