BSC Chandler LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BSC CHANDLER LLC

Doing business as

Banner Surgery Center - Chandler

Practice address

1125 S Alma School Rd Ste 100
Chandler, AZ 85286-2810

Phone

(480) 550-6089

NPI assigned

Jan 13, 2021

Last updated

Aug 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aric Burke

Title

Officer/Director

Phone

(480) 689-8403

Specialties & licenses 1

Addresses

Other names 1

• Banner Surgery Center - Chandler Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

BSC Chandler LLC Dba Banner Surgery Center ChandlerCCN 03C0001442

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Adam Horwitz, D.O.

  • Gastroenterology Physician
  • Chandler, AZ
  • NPI 1528201670
  NPD (past)
• Anthony Joseph Woodruff, M.D.

  • Urology Physician
  • Mesa, AZ
  • NPI 1033310537
  NPD (past)

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1750970869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 E CAMELBACK RD STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850169044",
            "telephone_number": "602-358-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S ALMA SCHOOL RD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862810",
            "telephone_number": "480-550-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSC CHANDLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ARIC",
        "authorized_official_title_or_position": "OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "480-689-8403"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banner Surgery Center - Chandler",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Banner Surgery Center - Chandler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela D Bryant, M ED
• Lisa Maureen Bryant, RPH
• Roselynde Bryant, N.M.D.
• Roy Garth Bryant, DMD
• Sarah Eileen Brzeczek, PA-C
• BTFS Counseling
• Regina M Buban, MS OTR/L
• Kaitlin Buccolo, BCBA, LBA
• Faith Buchanan, MD
• Kelly Bucher, LCSW

• Ambulatory Surgical Clinic/Center in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.