Richard S Dobrusin, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2578 Issued in AZ

Practice address

3805 E Bell Rd FL 2
Phoenix, AZ 85032-2105

Phone

(800) 233-3264

NPI assigned

Jan 25, 2006

Last updated

Dec 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1578533170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N NORTERRA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858200",
            "telephone_number": "623-277-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322105",
            "telephone_number": "800-233-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRUSIN",
        "first_name": "RICHARD",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AZ",
            "license": "2578",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2578",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Dobbins, PA-C
• Herman Allen Dobbs III, MD
• Michael David Dobbs, M.D.
• Jenna M Dobkin, PNP
• Michelle Dobrowski, LMSW
• Dana Dobson
• Sabrina Tiffany Dobson, LCSW
• Doc Lipan PLLC (Doc Lipan)
• Doc Tracey Inc
• Doc's Place LLC

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.