Individual provider Active NPI

Bridgette Boyer, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1760812374
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5592 Issued in AZ
Practice address
9250 W Thomas Rd # 100
Phoenix, AZ 85037-3382
Phone
(623) 322-6667
NPI assigned
Nov 18, 2013
Last updated
Dec 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5592 AZ Primary

Addresses

Primary practice location

9250 W Thomas Rd # 100
Phoenix, AZ 85037-3382

Mailing address

PO Box 1723
Sun City, AZ 85372-1723
Phone (602) 418-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523000204 AZ Practitioner - Physician Assistant 3476842089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

12775 W Bell Rd
Suite 100
Surprise, AZ 85378-9770
Phone (623) 215-0082

1515 E Bethany Home Rd
Suite 120B
Phoenix, AZ 85014-2496
Phone (602) 812-3080

17015 N 7TH St
Suite 100
Phoenix, AZ 85022-2436
Phone (602) 368-1403

18404 N Tatum Blvd
Suite 101C
Phoenix, AZ 85032-1511
Phone (602) 992-1900

24874 N 67TH Ave
Suite 101
Peoria, AZ 85383-4245
Phone (602) 598-4700

3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444

3730 W Happy Valley Rd
Suite 100
Glendale, AZ 85310-3283
Phone (623) 277-4140

6220 W Bell Rd
Glendale, AZ 85308-3896

725 S Rural Rd
Suite 120
Tempe, AZ 85288-2047
Phone (480) 214-0622

7831 W Deer Valley Rd
Peoria, AZ 85382-2140
Phone (623) 312-2265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5592AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC CurrentSince Mar 27, 2022 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Oct 15, 2018 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Mar 27, 2022 Accepting new patients
4C Medical Group PLC Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

24874 N 67th Ave
Ste 101
Peoria, AZ 85383
Phone (602) 598-4700

7831 W Deer Valley Rd
Peoria, AZ 85382
Phone (623) 312-2265

18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10900 N Scottsdale Rd
Ste 603
Scottsdale, AZ 85254
Phone (480) 607-3800

20745 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 534-4525

7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314

Interoperability endpoints

  • Direct secure messaging: bboyer251854@direct.honorhealth.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1760812374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1723",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853721723",
            "telephone_number": "602-418-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 W THOMAS RD # 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373382",
            "telephone_number": "623-322-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "BRIDGETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.