Organization Active NPI

Bonhoeffer Rheumatology Institute, LLC

  • Rheumatology Physician
  • Gilbert, AZ
National Provider Identifier
1811372345
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
BONHOEFFER RHEUMATOLOGY INSTITUTE, LLC
Practice address
2451 E Baseline Rd
Suite 425
Gilbert, AZ 85234-2471
Phone
(480) 494-2770
Fax
(480) 494-2771
NPI assigned
Jul 27, 2015
Last updated
Aug 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Authorized official

Name
Kevin Eugene Burr
Title
Secretary
Phone
(712) 310-4701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 12739741 AZ
Rheumatology Physician 207RR0500X Primary

Addresses

Primary practice location

2451 E Baseline Rd
Suite 425
Gilbert, AZ 85234-2471

Mailing address

2451 E Baseline Rd Ste 425
Gilbert, AZ 85234-0049
Phone (480) 494-2770

Other practice location 1

17937 N Pennsylvania Ave Ste 201
Edmond, OK 73012-9001
Phone (602) 402-3535

Other practice location 2

520 N Camino Mercado Ste 1
Casa Grande, AZ 85122-5754
Phone (602) 402-3535

Other identifiers 1

IdentifierTypeStateIssuer
041844MedicaidAZ

Other names 1

  • Summit Rheumatology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OK, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20151113000518 AZ Part B Supplier - Clinic/Group Practice 1850601360 Receives reassigned benefits from 9 practitioners
Practice locations: Casa Grande, AZ; Gilbert, AZ; Phoenix, AZ
O20240713000620 OK Part B Supplier - Clinic/Group Practice 1850601360 Receives reassigned benefits from 3 practitioners
Practice locations: Edmond, OK
O20241112004585 CO Part B Supplier - Clinic/Group Practice 1850601360 Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

520 N Camino Mercado
Casa Grande, AZ 85122
Phone (480) 494-2770

520 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 557-5600

312 N Alma School Rd
Ste 10
Chandler, AZ 85224
Phone (480) 494-2770

20414 N 27th Ave
Ste 450
Phoenix, AZ 85027
Phone (480) 494-2770

4105 Briargate Pkwy
Ste 205
Colorado Springs, CO 80920
Phone (480) 494-2770

17937 N Pennsylvania Ave
#201
Edmond, OK 73012
Phone (405) 260-8605

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGIFDD

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1811372345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 425",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852340049",
            "telephone_number": "480-494-2770",
            "fax_number": "480-494-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD",
            "address_2": "SUITE 425",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342471",
            "telephone_number": "480-494-2770",
            "fax_number": "480-494-2771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17937 N Pennsylvania Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730129001",
            "country_code": "US",
            "telephone_number": "602-402-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 N Camino Mercado Ste 1",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225754",
            "country_code": "US",
            "telephone_number": "602-402-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BONHOEFFER RHEUMATOLOGY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "712-310-4701"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "12739741",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041844",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Rheumatology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.