Bruce L Dalkin, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

19855 Issued in AZ

Practice address

5240 E Knight Dr
Ste 108
Tucson, AZ 85712-2122

Phone

(520) 321-4266

NPI assigned

Jul 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Association of University Physicians

  • Anesthesiology Physician
  • Seattle, WA
  • NPI 1023041159

  Urology

  Medicare reassignment NPD

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1700086089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 E KNIGHT DR",
            "address_2": "STE 108",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122122",
            "telephone_number": "520-321-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 E KNIGHT DR",
            "address_2": "STE 108",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122122",
            "telephone_number": "520-321-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALKIN",
        "first_name": "BRUCE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "19855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lynne Dalby, M.D.
• Richard Dale, MD
• Adam Rabin Dalesandro, D.M.D.
• Debra F Daley
• Costa Dalis, MD
• Monique Dall Agnol, RPH
• Dallin Jay Williams DDS PLLC
• Amy Lynn Dalmendray
• Bonnie A Dalton, COTA
• Jennifer Dalton, M.S. CCC-SLP

• Urology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.