Georgetta Bidwell, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

7104 Issued in AZ

Practice address

4901 W. McDowell Rd
Phoenix, AZ 85035-0000

Phone

(623) 849-9088

Fax

(623) 849-7875

NPI assigned

May 27, 2005

Last updated

Feb 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Akdhc, LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1528427317
  NPD (past)
• Northwest Tucson Dialysis LLC

  dba Northwest Tucson

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tucson, AZ
  • NPI 1972791424
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1588667109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD",
            "address_2": "SUITE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182322",
            "telephone_number": "602-997-0484",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W. MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850350000",
            "telephone_number": "623-849-9088",
            "fax_number": "623-849-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDWELL",
        "first_name": "GEORGETTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "7104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299108",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georganne Patricia Bickle, LAC
• Julie Bickline, RD
• Keryn Bickman-Morris, RD
• Brandi Nicole Biddle, CNP
• Madison Bidnick, M.ED., BCBA
• Nicklaus Ellif Biederwolf, PT, DPT, CSCS
• Nancy Biehl-Judge
• Ashleigh Biehn
• Albert M Biemond
• Lidia Bien

• Nephrology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.