Active NPI
Gerald Mac Donald Jr.
- Nurse Massage Therapist (NMT)
- Bullhead City, AZ
National Provider Identifier
1558294645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Massage Therapist (NMT)
- License
- RN151606
- Practice address
- 2254 Jo Ann Ave
Bullhead City, AZ 86442-8150 - Phone
- (928) 201-2357
- NPI assigned
- Jun 8, 2026
- 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 |
|---|---|---|---|---|
| Nurse Massage Therapist (NMT) | 163WM1400X | RN151606 | AZ | Primary |
Addresses
Primary practice location
2254 Jo Ann Ave
Bullhead City, AZ 86442-8150
Mailing address
2254 Jo Ann Ave
Bullhead City, AZ 86442-8150
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1558294645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2254 JO ANN AVE",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2254 JO ANN AVE",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428150",
"telephone_number": "928-201-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAC DONALD",
"first_name": "GERALD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": "AZ",
"license": "RN151606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.