Individual provider Active NPI

David Bradford Sanders Jr., MS, CCP

  • Perfusionist
  • Phoenix, AZ
National Provider Identifier
1760620926
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
Practice address
350 W. Thomas Rd.
St. Joseph'S Hospital and Medical Center, Attn: Cath la
Phoenix, AZ 85013-0000
Phone
(602) 406-5194
Fax
(602) 798-0311
NPI assigned
Jan 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X Primary

Addresses

Primary practice location

350 W. Thomas Rd.
St. Joseph'S Hospital and Medical Center, Attn: Cath la
Phoenix, AZ 85013-0000

Mailing address

350 W. Thomas Rd
St. Joseph'S Hospital and Medical Center Attn: Cath Lab
Phoenix, AZ 85013-0000
Phone (602) 406-5194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1760620926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W. THOMAS RD",
            "address_2": "ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER ATTN: CATH LAB",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850130000",
            "telephone_number": "602-406-5194",
            "fax_number": "602-798-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W. THOMAS RD.",
            "address_2": "ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, ATTN: CATH LA",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850130000",
            "telephone_number": "602-406-5194",
            "fax_number": "602-798-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DAVID",
        "middle_name": "BRADFORD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS, CCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "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 Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.