Active NPI
Lawrence W. Bence, M.D.
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1194713628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15659
- Practice address
- 13416 N 32ND St Ste 109
Phoenix, AZ 85032-6000 - Phone
- (480) 428-3526
- Fax
- (480) 428-4545
- NPI assigned
- Oct 10, 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 | 15659 | AZ | Primary |
Addresses
Primary practice location
13416 N 32ND St Ste 109
Phoenix, AZ 85032-6000
Mailing address
13416 N 32ND St Ste 109
Phoenix, AZ 85032-6000
Phone (480) 428-3526
Other practice location 1
13416 N 32nd St Ste 107
Phoenix, AZ 85032-6000
Phone (480) 999-4303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252833 | Medicaid | AZ |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15956 | AZ | MD | Pharmacist |
| 15659 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Hospice, LLC | Family Medicine | Past | Accepting new patients |
| Arizona Select Home Health, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Peoria, AZ
- NPI 1295137362
-
dba Arizona Life Hospice - Mohave
- Community Based Hospice Care Agency
- Fort Mohave, AZ
- NPI 1235631094
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1194713628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13416 N 32ND ST STE 109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850326000",
"telephone_number": "480-428-3526",
"fax_number": "480-428-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13416 N 32ND ST STE 109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850326000",
"telephone_number": "480-428-3526",
"fax_number": "480-428-4545"
}
],
"practiceLocations": [
{
"address_1": "13416 N 32nd St Ste 107",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850326000",
"country_code": "US",
"telephone_number": "480-999-4303",
"fax_number": "480-999-4668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENCE",
"first_name": "LAWRENCE",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "15659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252833",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.