Green Valley Physical Medicine, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GREEN VALLEY PHYSICAL MEDICINE, INC

Practice address

380 W Vista Hermosa Dr
Green Valley, AZ 85614-1999

Phone

(520) 648-2225

Fax

(520) 625-9777

NPI assigned

Nov 18, 2019

Last updated

Nov 18, 2019By 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

Dr. Christopher Cade Broderick, DC

Title

Owner

Phone

(520) 648-2225

Specialties & licenses 1

Addresses

Locations

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.

• Robert M King, D.C.

  • Chiropractor
  • Green Valley, AZ
  • NPI 1083706238
  NPD (past)

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1780220426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W VISTA HERMOSA DR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141999",
            "telephone_number": "520-648-2225",
            "fax_number": "520-625-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W VISTA HERMOSA DR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141999",
            "telephone_number": "520-648-2225",
            "fax_number": "520-625-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY PHYSICAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-648-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Frances Granone, DPM
• Green Valley Chiropractic Center Inc.
• Green Valley Dental Specialties
• Green Valley Family Care
• Green Valley Memory Associates, LLC (Canyon Valley Memory Care)
• Colleen M Green, PMHNP-BC
• Vicki L Greiff, MD
• Kathy Lynn Grindle, RN
• Garth Gruenhagen, COTA
• Ernesto Gutierrez, MD

• General Practice Physician in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.