Active NPI
Bradley J Meek, DO
- Family Medicine Physician
- Wickenburg, AZ
National Provider Identifier
1184628877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3257
- Practice address
- 811 N Tegner St
Suite 113
Wickenburg, AZ 85390-5409 - Phone
- (877) 809-5092
- Fax
- (623) 815-9253
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3257 | AZ | Primary |
Addresses
Primary practice location
811 N Tegner St
Suite 113
Wickenburg, AZ 85390-5409
Mailing address
9520 West Palm Lane
Suite 200
Phoenix, AZ 85037
Phone (877) 809-5092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3257 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1184628877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9520 WEST PALM LANE",
"address_2": "SUITE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85037",
"telephone_number": "877-809-5092",
"fax_number": "623-815-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 N TEGNER ST",
"address_2": "SUITE 113",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853905409",
"telephone_number": "877-809-5092",
"fax_number": "623-815-9253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEK",
"first_name": "BRADLEY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wickenburg, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.