B-Healthy Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

B-HEALTHY MEDICAL CORPORATION

Practice address

4502 W. Indian School Road
#A3
Phoenix, AZ 85031-3718

Phone

(623) 247-0414

Fax

(623) 247-0412

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Charmele Brinson

Title

Owner

Phone

(623) 247-2300

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Jean Benson, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1962565549
  NPD (past)
• Bariduanen Bright Nkol, FNP

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1326508797
  NPD (past)
• Paulette Diana Wright I, RN FNP-C/PA

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1134126055
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1588866313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 W. INDIAN SCHOOL ROAD",
            "address_2": "#105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85037",
            "telephone_number": "623-247-2300",
            "fax_number": "623-247-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 W. INDIAN SCHOOL ROAD",
            "address_2": "#A3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313718",
            "telephone_number": "623-247-0414",
            "fax_number": "623-247-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B-HEALTHY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "BRINSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CHARMELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-247-2300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ETHAN KENNEDY",
            "identifier": "1972679181",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID BICKLER",
            "identifier": "1265408975",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEIDREJSOLBERG-DANIELSMD",
            "identifier": "1255310967",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• B-Healthy Medical Corporation
• B. Tran DDS & Associates, Moon Valley Dentistry PLLC
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• B&B in-Homecare

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.