Active NPI
Jean Marie Carnes, MD
- Emergency Medicine Physician
- Phoenix, AZ
National Provider Identifier
1831177864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 06514
- Practice address
- 2000 W Bethany Home Rd
Phoenix Baptist Hospital
Phoenix, AZ 85015 - Phone
- (602) 249-0212
- NPI assigned
- Jan 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 06514 | AZ | Primary |
Addresses
Primary practice location
2000 W Bethany Home Rd
Phoenix Baptist Hospital
Phoenix, AZ 85015
Mailing address
2251 N 32ND St
Lot #31
Mesa, AZ 85213-2446
Phone (480) 641-7453
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292912 | Medicaid | AZ | |
| AZ0728670 | Other | AZ | BCBS - GROUP # |
| 3981220 | Other | AZ | EVERCARE - GROUP # |
| AW1436 | Other | AZ | HEALTHNET - GROUP # |
Other names 1
- Miss Jean Marie Bergen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6514 | AZ | MD | Pharmacist |
| 06514 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Professional Association LTD | Emergency Medicine | Past | Accepting new patients |
| Tempe Emergency Physicians, LTD | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Professional Association, LTD. | Emergency Medicine | Past | Accepting new patients |
| Camelback Anesthesia PLLC | Past | Accepting new patients | |
| Joel D Pavelonis MD PC | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Camelback Pain Consultants
- Pain Medicine (Anesthesiology) Physician
- Tempe, AZ
- NPI 1831560176
-
- Emergency Medicine Physician
- Glendale, AZ
- NPI 1396769972
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1114931490
-
- Anesthesiology Physician
- Mesa, AZ
- NPI 1215124284
-
- Emergency Medicine Physician
- Bullhead City, AZ
- NPI 1376934315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831177864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 N 32ND ST",
"address_2": "LOT #31",
"city": "MESA",
"state": "AZ",
"postal_code": "852132446",
"telephone_number": "480-641-7453",
"fax_number": "480-641-7453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W BETHANY HOME RD",
"address_2": "PHOENIX BAPTIST HOSPITAL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85015",
"telephone_number": "602-249-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNES",
"first_name": "JEAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "06514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292912",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - GROUP #",
"identifier": "AZ0728670",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE - GROUP #",
"identifier": "3981220",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET - GROUP #",
"identifier": "AW1436",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "BERGEN",
"middle_name": "MARIE",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.