Individual provider Active NPI

Courtney L Bishop, MD

  • Pediatrics Physician
  • Chandler, AZ
National Provider Identifier
1376547331
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24400 Issued in AZ
Practice address
5680 W Chandler Blvd
Ste 3
Chandler, AZ 85226-3341
Phone
(480) 776-0440
Fax
(480) 776-0444
NPI assigned
Jun 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24400 AZ Primary

Addresses

Primary practice location

5680 W Chandler Blvd
Ste 3
Chandler, AZ 85226-3341

Mailing address

5680 W Chandler Blvd
Ste 3
Chandler, AZ 85226-3341
Phone (480) 776-0440

Other identifiers 1

IdentifierTypeStateIssuer
428278MedicaidAZ

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24400AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Step by Step Pediatrics Pediatrics PastSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1376547331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 W CHANDLER BLVD",
            "address_2": "STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263341",
            "telephone_number": "480-776-0440",
            "fax_number": "480-776-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 W CHANDLER BLVD",
            "address_2": "STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263341",
            "telephone_number": "480-776-0440",
            "fax_number": "480-776-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "24400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428278",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.