Active NPI
John K. Bradway, M.D., P.C.
- Specialist
- Scottsdale, AZ
National Provider Identifier
1821271255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 17615
- Legal business name
- JOHN K. BRADWAY, M.D., P.C.
- Practice address
- 10213 N 92ND St
Suite 101
Scottsdale, AZ 85258-4561 - Phone
- (480) 860-6005
- Fax
- (480) 860-1882
- NPI assigned
- Dec 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John K. Bradway, MD
- Title
- Owner
- Phone
- (480) 860-6005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17615 | AZ | Primary |
| Surgical Physician Assistant | 363AS0400X | 2150 | AZ |
Addresses
Primary practice location
10213 N 92ND St
Suite 101
Scottsdale, AZ 85258-4561
Mailing address
10213 N 92ND St
Suite 101
Scottsdale, AZ 85258-4561
Phone (480) 860-6005
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1821271255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10213 N 92ND ST",
"address_2": "SUITE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584561",
"telephone_number": "480-860-6005",
"fax_number": "480-860-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10213 N 92ND ST",
"address_2": "SUITE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584561",
"telephone_number": "480-860-6005",
"fax_number": "480-860-1882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN K. BRADWAY, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "BRADWAY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-860-6005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "AZ",
"license": "17615",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "2150",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.