Bashir Ahmed Azher PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

14725 Issued in AZ

Legal business name

BASHIR AHMED AZHER PC

Practice address

1467 Palma Rd
Suite 4
Bullhead City, AZ 86442-6785

Phone

(928) 763-5110

Fax

(928) 763-1091

NPI assigned

Oct 15, 2007

Last updated

Mar 15, 2011By 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

Bashir Ahmed Azher, MDNPI 1689605404

Title

Owner

Phone

(928) 763-5110

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

Practitioners 1

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.

• Bashir A Azher, MD

  • Urology Physician
  • Bullhead City, AZ
  • NPI 1689605404
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1760671804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 PALMA RD",
            "address_2": "SUITE 4",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426785",
            "telephone_number": "928-763-5110",
            "fax_number": "928-763-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 PALMA RD",
            "address_2": "SUITE 4",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426785",
            "telephone_number": "928-763-5110",
            "fax_number": "928-763-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHIR AHMED AZHER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "AZHER",
        "authorized_official_first_name": "BASHIR",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-763-5110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "14725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239542",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.