Promed Providers, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PROMED PROVIDERS, LLC

Practice address

64 E Broadway Rd Ste 200
Tempe, AZ 85282-1377

Phone

(817) 852-9972

NPI assigned

Apr 29, 2026

Organization subpart

No

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

Authorized official

Name

Jimmy Bizimungu

Title

Member

Phone

(817) 852-9972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1568308674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 E BROADWAY RD STE 200",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E BROADWAY RD STE 200",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821377",
            "telephone_number": "817-852-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "BIZIMUNGU",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-852-9972"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.