Active NPI
Tige Adam Bjornson, CNP
- Neonatal Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1508015777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 301246
- Practice address
- 1661 E Camelback Rd Ste 200
Phoenix, AZ 85016-3913 - Phone
- (602) 231-3686
- NPI assigned
- Sep 12, 2008
- Last updated
- Jun 18, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 301246 | AZ | Primary |
Addresses
Primary practice location
1661 E Camelback Rd Ste 200
Phoenix, AZ 85016-3913
Mailing address
1661 E Camelback Rd Ste 200
Phoenix, AZ 85016-3913
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2072 | MN | MD | Acupuncturist |
| 301246 | AZ | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona OB GYN Affiliates PC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Phoenix, AZ
- NPI 1750589404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1508015777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 E CAMELBACK RD STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 E CAMELBACK RD STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163913",
"telephone_number": "602-231-3686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJORNSON",
"first_name": "TIGE",
"middle_name": "ADAM",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-12",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "AZ",
"license": "301246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Aldijana Bjelobrkovic, NP
- Bjohnstonllc (West Valley Wellness)
- Bjorn Melander DDS PLC (Aspen Dental)
- Paul Bjornen, OTR/L
- Dawn Bjornson
- Black Canyon Anesthesia, PC.
- Black Canyon Therapy and Wellness
- Black Family and Child Services Inc
- Black Family and Child Services Inc
- Black Family and Child Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.