Breast Care PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

19443 Issued in AZ

Legal business name

BREAST CARE PC

Practice address

16620 N 40TH St
Ste. H3
Phoenix, AZ 85032-3348

Phone

(602) 971-5002

Fax

(602) 368-4638

NPI assigned

Jun 17, 2006

Last updated

Oct 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christi S. Bourne, M.D.

Title

President

Phone

(602) 971-5002

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelley K Nakamura, MD

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1760463418
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1154366029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST",
            "address_2": "STE. H3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323348",
            "telephone_number": "602-971-5002",
            "fax_number": "602-368-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST",
            "address_2": "STE. H3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323348",
            "telephone_number": "602-971-5002",
            "fax_number": "602-368-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-971-5002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "19443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Brdar, MS OTR/L
• Break Away Consulting & Consulting LLC
• Breakdown Therapy, LLC
• Breaking Barriers
• Breakthrough Therapy, PLLC
• Breast Care, P.C.
• Breast Imaging Specialists of Arizona, LLC
• Breathe Again Counseling, LLC
• Faith Nicole Breaux, PA-C
• Paul Dulian Breb

• Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.