Active NPI
Bryan W Gawley, MD
- Plastic Surgery Physician
- Scottsdale, AZ
National Provider Identifier
1427049873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 33914
- Practice address
- 8913 E. Bell Rd
BLDG E, Suite. 101-B
Scottsdale, AZ 85260 - Phone
- (480) 860-2173
- Fax
- (480) 656-9735
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 33914 | AZ | Primary |
Addresses
Primary practice location
8913 E. Bell Rd
BLDG E, Suite. 101-B
Scottsdale, AZ 85260
Mailing address
8913 E Bell Rd
BLDG E, Suite 101-B
Scottsdale, AZ 85260-1598
Phone (480) 860-2173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 948846 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Arizona LLC | Current | Accepting new patients | |
| St. Joseph'S Hospital and Medical Center | Past | Accepting new patients | |
| North Scottsdale Outpatient Surgery Center, L.L.C. | Past | Accepting new patients | |
| Sjhmc Physician Services | Past | Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
Organizations & group practices 4
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.
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
-
- Ambulatory Surgical Clinic/Center
- Scottsdale, AZ
- NPI 1588806756
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1427049873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8913 E BELL RD",
"address_2": "BLDG E, SUITE 101-B",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601598",
"telephone_number": "480-860-2173",
"fax_number": "480-656-9735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8913 E. BELL RD",
"address_2": "BLDG E, SUITE. 101-B",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85260",
"telephone_number": "480-860-2173",
"fax_number": "480-656-9735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWLEY",
"first_name": "BRYAN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "AZ",
"license": "33914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "948846",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
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 May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.