Douglas Bishop, NP

Key facts

NPI

1548840937

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

256505 (AZ)

Practice address

23706 W la Canada Blvd
Buckeye, AZ 85396-6392

Phone

(623) 326-4260

NPI assigned

Apr 10, 2021

Sex

Male

Sole proprietor

No

Organizations & group practices 7

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.

• Alliance Urgent Care PLLC Emergency Medical Services (Emergency Medicine) Physician · Tolleson, AZ · NPI 1891888517
  Medicare reassignment NPD AZ
• Community Hospital Association, Inc. Critical Access Hospital · Wickenburg, AZ · NPI 1841282852
  Medicare reassignment NPD AZ
• Pain and Palliative Associates of Arizona Pain Medicine Physician · Phoenix, AZ · NPI 1538723531
  Medicare reassignment NPD AZ
• DCB Medical PLLC Family Nurse Practitioner · Buckeye, AZ · NPI 1922724525
  NPD Authorized official FAMILY
• Community Hospital Association, Inc. Rural Health Clinic/Center · Congress, AZ · NPI 1609144393
  NPD
• Valley Geriatric Associates PLLC Geriatric Medicine (Family Medicine) Physician · Phoenix, AZ · NPI 1063127306
  NPD
• Arizona Heart Specialists PLLC Cardiovascular Disease Physician · Lakeside, AZ · NPI 1750513438
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 10, 2021.

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1548840937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23706 W LA CANADA BLVD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853966392",
            "telephone_number": "623-326-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23706 W LA CANADA BLVD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853966392",
            "telephone_number": "623-326-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "DOUGLAS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "256505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Buckeye, AZ · Family Nurse Practitioner in Arizona