Active NPI
Orthopedic Specialists of North America PLLC
- Orthopaedic Surgery Physician
- Mesa, AZ
National Provider Identifier
1265755375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC
- Practice address
- 4566 E Inverness Ave
Suite 108
Mesa, AZ 85206-4633 - Phone
- (480) 889-3988
- NPI assigned
- Mar 3, 2010
- Organization subpart
- Yes
- Parent organization
- ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Bradway, MD
- Title
- Chief Executive Officer
- Phone
- (480) 860-6005
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X |
Addresses
Primary practice location
4566 E Inverness Ave
Suite 108
Mesa, AZ 85206-4633
Mailing address
PO Box 271429
Salt Lake City, UT 84127-1429
Phone (602) 772-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DQ4501 | Other | AZ | RAILROAD MEDICARE PTAN |
Other names 1
- OSNA Active Orthopedic Division
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Osna PLLC
Locations
8405 N Pima Center Pkwy
Ste 204
Scottsdale, AZ 85258
Phone (480) 563-7648
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Scottsdale, AZ
- NPI 1932215787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478649600000",
"number": "1265755375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271429",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841271429",
"telephone_number": "602-772-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4566 E INVERNESS AVE",
"address_2": "SUITE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "852064633",
"telephone_number": "480-889-3988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHOPEDIC SPECIALISTS OF NORTH AMERICA PLLC",
"enumeration_date": "2010-03-03",
"last_updated": "2016-11-09",
"status": "A",
"authorized_official_last_name": "BRADWAY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "480-860-6005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "DQ4501",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OSNA Active Orthopedic Division",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mesa, AZ
- Orestes Roman Ortega, NURSE PRACTITIONER
- Orthocare Home Health LLC
- Orthodontic Centers of Az
- Orthopedic & Sports Physical Therapy, PC
- Orthopedic Performance Therapy
- Orthopedic Specialists of North America PLLC
- Orthopedic Specialists of North America, PLLC
- Orthopedic Specialists of North America, PLLC
- Orthopedic Specialists of North America, PLLC
- Ashley Ortiz, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.