Active NPI
Bruno Subbarao PLLC
- Physical Medicine & Rehabilitation Physician
- Avondale, AZ
National Provider Identifier
1669393476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- BRUNO SUBBARAO PLLC
- Practice address
- 10903 W McDowell Rd
Avondale, AZ 85392-5240 - Phone
- (623) 404-4417
- Fax
- (623) 404-4416
- NPI assigned
- Jul 25, 2026
- 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
- Bruno Shankar Subbarao, DO
- Title
- Owner
- Phone
- (412) 478-9148
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
10903 W McDowell Rd
Avondale, AZ 85392-5240
Mailing address
1717 E Morten Ave Unit 36
Phoenix, AZ 85020-4756
Phone (412) 478-9148
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- South Miami, FL
- NPI 1407191885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784937600000",
"number": "1669393476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 E MORTEN AVE UNIT 36",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204756",
"telephone_number": "412-478-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10903 W MCDOWELL RD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925240",
"telephone_number": "623-404-4417",
"fax_number": "623-404-4416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUNO SUBBARAO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-25",
"last_updated": "2026-07-25",
"certification_date": "2026-07-25",
"status": "A",
"authorized_official_last_name": "SUBBARAO",
"authorized_official_first_name": "BRUNO",
"authorized_official_middle_name": "SHANKAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "412-478-9148",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.