Organization Active NPI

North Mountain Family Medicine PLLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1548412950
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH MOUNTAIN FAMILY MEDICINE PLLC
Practice address
3805 E Bell Road
St. 5300
Phoenix, AZ 85032
Phone
(602) 246-0351
Fax
(602) 246-7023
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Debbie Birch
Title
Office Manager
Phone
(602) 246-0351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3805 E Bell Road
St. 5300
Phoenix, AZ 85032

Mailing address

3805 E Bell Road
St. 5300
Phoenix, AZ 85032
Phone (602) 246-0351

Other names 1

  • North Mountain Family Medicine Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manager@nmfmdoc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000169 AZ Part B Supplier - Clinic/Group Practice 9335201532 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2087995North Mountain Family Medicine3805 E Bell Rd #5300, Phoenix, AZ 85032Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

Locations

3805 E Bell Rd
Ste 5300
Phoenix, AZ 85032
Phone (602) 246-0351

9250 N 3rd St
Ste 3020
Phoenix, AZ 85020
Phone (480) 939-3440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1548412950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL ROAD",
            "address_2": "ST. 5300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-246-0351",
            "fax_number": "602-246-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL ROAD",
            "address_2": "ST. 5300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "602-246-0351",
            "fax_number": "602-246-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MOUNTAIN FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-246-0351"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manager@nmfmdoc.com",
            "affiliation": "N",
            "endpointDescription": "manager@nmfmdoc.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3805 E Bell Road",
            "address_2": "St. 5300",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Mountain Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.