Individual provider Active NPI

Bryan Foli

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1265072870
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
242512 Issued in AZ
Practice address
15916 W Port Au Prince LN
Surprise, AZ 85379-5145
Phone
(801) 822-2029
NPI assigned
Jan 11, 2020
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 242512 AZ Primary
Emergency Registered Nurse 163WE0003X RN189755 AZ

Addresses

Primary practice location

15916 W Port Au Prince LN
Surprise, AZ 85379-5145

Mailing address

15916 W Port Au Prince LN
Surprise, AZ 85379-5145
Phone (801) 822-2029

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200921000688 AZ Practitioner - Nurse Practitioner 2163840315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

9745 W Bell Rd
Suite 105
Sun City, AZ 85351-1371
Phone (623) 742-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Aug 6, 2020 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Feb 25, 2024 Accepting new patients
Arizona State University Past Accepting new patients
Arizona State University Past Accepting new patients

Locations (25 of 44)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

1155 W Ocotillo Rd
Ste 4
Chandler, AZ 85248
Phone (480) 374-7400

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

399 S Malpais Ln
Ste 100
Flagstaff, AZ 86001
Phone (928) 286-8830

6343 S Higley Rd
Gilbert, AZ 85298
Phone (480) 748-2712

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

5410 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 530-6189

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

17688 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 889-6823

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215
Phone (480) 289-7890

3130 E Baseline Rd
Ste 105
Mesa, AZ 85204
Phone (480) 497-5933

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

298 W Mariposa Rd
Ste 2
Nogales, AZ 85621
Phone (520) 394-7388

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

3229 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 788-3285

34640 N North Valley Pkwy
Ste A104
Phoenix, AZ 85086
Phone (623) 444-2001

Interoperability endpoints

  • Direct secure messaging: bryan.folifnp.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 4

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": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1265072870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15916 W PORT AU PRINCE LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795145",
            "telephone_number": "801-822-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15916 W PORT AU PRINCE LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795145",
            "telephone_number": "801-822-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLI",
        "first_name": "BRYAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-11",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "242512",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN189755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.