Robert Anthony Bembenek, DC
Individual provider Active NPI Chiropractor · PHX, AZ
NPI 1467627331 · NPPES record last updated Apr 23, 2008
Key facts
- NPI
- 1467627331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4907 (AZ)
- Practice address
- 5030 W McDowell Suite 10
PHX, AZ 85035 - Phone
- (602) 278-8115
- Fax
- (602) 278-4029
- NPI assigned
- Apr 23, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4907 | AZ | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Real LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4907 | AZ | Yes |
Addresses
Primary practice location
5030 W McDowell Suite 10
PHX, AZ 85035
Mailing address
1432 N 7TH St
PHX, AZ 85006
Phone (602) 222-9595
Other providers in PHX, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.