Active NPI
Wilfred J Radler, M.D.
- Family Medicine Physician
- Golden Valley, AZ
National Provider Identifier
1831305861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8288
- Practice address
- 4263 Highway 68
Ste C
Golden Valley, AZ 86413-8569 - Phone
- (928) 565-3939
- Fax
- (928) 565-4111
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8288 | AZ | Primary |
Addresses
Primary practice location
4263 Highway 68
Ste C
Golden Valley, AZ 86413-8569
Mailing address
5653 Highway 95
Ste a
Fort Mohave, AZ 86426-6069
Phone (928) 768-2558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206707 | Medicaid | AZ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgan Consulting LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Medicine Physician
- Golden Valley, AZ
- NPI 1417005075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1831305861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5653 HIGHWAY 95",
"address_2": "STE A",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864266069",
"telephone_number": "928-768-2558",
"fax_number": "928-768-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4263 HIGHWAY 68",
"address_2": "STE C",
"city": "GOLDEN VALLEY",
"state": "AZ",
"postal_code": "864138569",
"telephone_number": "928-565-3939",
"fax_number": "928-565-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADLER",
"first_name": "WILFRED",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "8288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206707",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.