Active NPI
T-Bird Family & Industrial Physicians, P.C.
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1649417817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019
- Legal business name
- T-BIRD FAMILY & INDUSTRIAL PHYSICIANS, P.C.
- Practice address
- 14045 N 7TH St
Suite #1
Phoenix, AZ 85022-4388 - Phone
- (602) 866-0961
- Fax
- (602) 866-9820
- NPI assigned
- Jan 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pegi Engle
- Title
- Office Manager
- Phone
- (602) 866-0961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2019 | AZ | Primary |
Addresses
Primary practice location
14045 N 7TH St
Suite #1
Phoenix, AZ 85022-4388
Mailing address
14045 N. 7TH St.
Suite #1
Phoenix, AZ 85022-4387
Phone (602) 866-0961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14045 N 7th St
Ste 1
Phoenix, AZ 85022
Phone (602) 866-0961
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1902860919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683763200000",
"number": "1649417817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14045 N. 7TH ST.",
"address_2": "SUITE #1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850224387",
"telephone_number": "602-866-0961",
"fax_number": "602-866-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14045 N 7TH ST",
"address_2": "SUITE #1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850224388",
"telephone_number": "602-866-0961",
"fax_number": "602-866-9820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T-BIRD FAMILY & INDUSTRIAL PHYSICIANS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-09",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A",
"authorized_official_last_name": "ENGLE",
"authorized_official_first_name": "PEGI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "602-866-0961"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "2019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.