Thunderbird Internal Medicine, LTD.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THUNDERBIRD INTERNAL MEDICINE, LTD.

Practice address

5620 W. Thunderbird Rd.
Suite F-1
Glendale, AZ 85306-4652

Phone

(602) 938-6960

Fax

(602) 938-6069

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Brian Riveland, MD

Title

Ceo

Phone

(602) 938-6960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1407837149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 W. THUNDERBIRD RD.",
            "address_2": "SUITE F-1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064652",
            "telephone_number": "602-938-6960",
            "fax_number": "602-938-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W. THUNDERBIRD RD.",
            "address_2": "SUITE F-1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064652",
            "telephone_number": "602-938-6960",
            "fax_number": "602-938-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDERBIRD INTERNAL MEDICINE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "RIVELAND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-938-6960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thunderbird Chiropractic, Inc.
• Thunderbird Dental Trust
• Thunderbird Dentistry
• Thunderbird Endoscopy Center
• Thunderbird Family Medicine LTD
• Thunderbird Obstetrics & Gynecology, LTD.
• Thunderbird Podiatry
• Thunderbird Treatment Center Inc
• Stephanie Thune, PHARM.D.
• Kathryn Marie Tidwell, PT

• Internal Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.