Organization Active NPI

T-Bird Family & Industrial Physicians, P.C.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1649417817
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019 Issued in AZ
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

Updated by the provider on May 11, 2023

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20090213000212 AZ Part B Supplier - Clinic/Group Practice 9032274683 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.