Individual provider Active NPI

Bradley T Lawrence, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1184694663
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10093 Issued in AZ
Practice address
710 W Bell Rd
Phoenix, AZ 85023-3507
Phone
(602) 588-3800
Fax
(602) 588-3671
NPI assigned
Jan 25, 2006
Last updated
Dec 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10093 AZ Primary

Addresses

Primary practice location

710 W Bell Rd
Phoenix, AZ 85023-3507

Mailing address

710 W Bell Rd
Phoenix, AZ 85023-3507
Phone (602) 588-3800

Other identifiers 1

IdentifierTypeStateIssuer
208224MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070829000035 AZ Practitioner - Family Practice 4981796455 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10093AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Feb 22, 2016 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Current Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Nov 4, 2002 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Nov 4, 2002 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Feb 22, 2016 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Honorhealth Ambulatory CurrentSince Feb 22, 2016 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Feb 22, 2016 Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

3201 W Peoria Ave
Ste C500
Phoenix, AZ 85029
Phone (602) 439-1200

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

5040 N 15th Ave
Ste 202
Phoenix, AZ 85015
Phone (602) 248-0123

710 W Bell Rd
Phoenix, AZ 85023
Phone (602) 588-3800

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1184694663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233507",
            "telephone_number": "602-588-3800",
            "fax_number": "602-588-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233507",
            "telephone_number": "602-588-3800",
            "fax_number": "602-588-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "BRADLEY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "10093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208224",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.