Individual provider Active NPI

Batrony Bazilme, MD, PA, SA-C

  • Physician Assistant
  • Goodyear, AZ
National Provider Identifier
1477211001
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9506 Issued in AZ
Practice address
700 N Estrella Pkwy Ste 120
Goodyear, AZ 85338-9271
Phone
(623) 925-0636
Fax
(623) 925-0637
NPI assigned
Dec 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TPPA284 FL
Physician Assistant 363A00000X 1123-PA PR
Surgical Physician Assistant 363AS0400X 22-397 WI
Physician Assistant 363A00000X 9506 AZ Primary
Physician Assistant 363A00000X CV2200542 IN
Physician Assistant 363A00000X PACN33 FL

Addresses

Primary practice location

700 N Estrella Pkwy Ste 120
Goodyear, AZ 85338-9271

Mailing address

700 N Estrella Pkwy Ste 120
Goodyear, AZ 85338-9271
Phone (623) 925-0636

Other practice location 1

1054 Gateway Blvd Ste 109
Boynton Beach, FL 33426-8309
Phone (850) 373-4395

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128000817 AZ Practitioner - Physician Assistant 8921537507 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PACN33FLMDPhysician Assistant
TPPA284FLMDPhysician Assistant
CV2200542INMDPhysician Assistant
1123-PAPRMDPhysician Assistant
22-397WIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Red Bridge Family & Psychiatric Care, LLC PastSince Jul 1, 2023 Accepting new patients
Einfectionmd PC Past Accepting new patients
Samcare, LLC Surgical Assistant PastSince Oct 16, 2022 Accepting new patients

Organizations & group practices 5

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1477211001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N ESTRELLA PKWY STE 120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389271",
            "telephone_number": "623-925-0636",
            "fax_number": "623-925-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N ESTRELLA PKWY STE 120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389271",
            "telephone_number": "623-925-0636",
            "fax_number": "623-925-0637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1054 Gateway Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334268309",
            "country_code": "US",
            "telephone_number": "850-373-4395",
            "fax_number": "650-231-5183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZILME",
        "first_name": "BATRONY",
        "name_prefix": "Dr.",
        "credential": "MD, PA, SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "TPPA284",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1123-PA",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "22-397",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9506",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "CV2200542",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PACN33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.