Individual provider Active NPI

Douglas Bishop, NP

  • Family Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1548840937
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
256505 Issued in AZ
Practice address
23706 W la Canada Blvd
Buckeye, AZ 85396-6392
Phone
(623) 326-4260
NPI assigned
Apr 10, 2021
Last updated
Apr 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 256505 AZ Primary

Addresses

Primary practice location

23706 W la Canada Blvd
Buckeye, AZ 85396-6392

Mailing address

23706 W la Canada Blvd
Buckeye, AZ 85396-6392
Phone (623) 326-4260

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
I20211216002886 AZ Practitioner - Nurse Practitioner 9830580364 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Geriatric Associates PLLC CurrentSince Feb 1, 2026 Accepting new patients
Pain and Palliative Associates of Arizona CurrentSince Feb 1, 2026 Accepting new patients
Community Hospital Association, Inc. CurrentSince Nov 20, 2023 Accepting new patients
Community Hospital Association, Inc. CurrentSince Nov 20, 2023 Accepting new patients
Alliance Urgent Care PLLC CurrentSince Oct 1, 2021 Accepting new patients
DCB Medical PLLC Family CurrentSince Oct 16, 2022 Accepting new patients
Arizona Heart Specialists PLLC PastSince Oct 1, 2021 Accepting new patients

Locations

980 S Watson Rd
Buckeye, AZ 85326

3811 E Bell Rd
Ste 111
Phoenix, AZ 85032
Phone (602) 675-2585

4202 N 20th Ave
Phoenix, AZ 85015
Phone (602) 264-3824

9897 W McDowell Rd
Ste 100
Tolleson, AZ 85353
Phone (623) 474-2300

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

523 Rose Ln
Wickenburg, AZ 85390
Phone (928) 668-1833

32919 N Center St
Wittmann, AZ 85361
Phone (928) 668-1833

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.