Organization Active NPI

Le Shangri la

Doing business as Bryan D Friedman DO LLC

  • Facial Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1285481259
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
LE SHANGRI LA
Doing business as
Bryan D Friedman DO LLC
Practice address
7545 E Angus Dr
Scottsdale, AZ 85251-6409
Phone
(480) 664-0125
Fax
(480) 664-0219
NPI assigned
May 6, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BRYAN D FRIEDMAN DO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Dr. Bryan Friedman, DONPI 1982961850
Title
Owner
Phone
(480) 664-0125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Facial Plastic Surgery Physician 207YS0123X NU Primary

Addresses

Primary practice location

7545 E Angus Dr
Scottsdale, AZ 85251-6409

Mailing address

7545 E Angus Dr
Scottsdale, AZ 85251-6409
Phone (480) 664-0125

Other names 1

  • Bryan D Friedman DO LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bryan D Friedman DO LLC2 organizations share this tax ID, including this one
Part of
Bryan D Friedman DO LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1285481259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 E ANGUS DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516409",
            "telephone_number": "480-664-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 E ANGUS DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516409",
            "telephone_number": "480-664-0125",
            "fax_number": "480-664-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE SHANGRI LA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRYAN D FRIEDMAN DO LLC",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-664-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryan D Friedman DO LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bryan D Friedman DO LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.