Individual provider Active NPI

Bruce A Culbertson, M.D.

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1275647356
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
24097 Issued in AZ
Practice address
530 E Thomas Rd
Phoenix, AZ 85012-3204
Phone
(602) 351-2229
Fax
(602) 351-1500
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 24097 AZ Primary

Addresses

Primary practice location

530 E Thomas Rd
Phoenix, AZ 85012-3204

Mailing address

1661 E Camelback Rd Ste 205
Phoenix, AZ 85016-3913
Phone (602) 422-9000

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
I20050929000519 AZ Practitioner - Obstetrics/Gynecology 7214962141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

1950 W Frye Rd
Suite B
Chandler, AZ 85224-6255
Phone (480) 895-9555

530 E Thomas Rd
Phoenix, AZ 85012-3204
Phone (602) 351-2229

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC CurrentSince Jan 1, 2020 Accepting new patients
Bruce a. Culbertson PastSince Jan 1, 1990 Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Dignity Health Past Accepting new patients
Corey S Bruce MD LTD Obstetrics & Gynecology Past Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1757 E Melrose St
Gilbert, AZ 85297

530 E Thomas Rd
Phoenix, AZ 85012
Phone (602) 351-2229

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

1661 E Camelback Rd
Ste 205
Phoenix, AZ 85016
Phone (602) 343-6043

9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

Interoperability endpoints

  • Direct secure messaging: bruce.culbertson.1@14294.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1275647356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163913",
            "telephone_number": "602-422-9000",
            "fax_number": "602-556-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123204",
            "telephone_number": "602-351-2229",
            "fax_number": "602-351-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "24097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.