John S Bickle DO PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30905 Issued in AZ

Legal business name

JOHN S BICKLE DO PLC

Practice address

33755 N Scottsdale Rd
Suite 120
Scottsdale, AZ 85266-1567

Phone

(480) 595-8900

Fax

(480) 595-8910

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Bickle, DONPI 1134136591

Title

President

Phone

(480) 595-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Black Mountain Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Scott Bickle, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1134136591
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1861522419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33755 N SCOTTSDALE RD",
            "address_2": "SUITE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661567",
            "telephone_number": "480-595-8900",
            "fax_number": "480-595-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33755 N SCOTTSDALE RD",
            "address_2": "SUITE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661567",
            "telephone_number": "480-595-8900",
            "fax_number": "480-595-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S BICKLE DO PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BICKLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-595-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "30905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0714850",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Mountain Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John J. Bolte B.S.,D.C.,F.I.a.C.a.,P.C.
• John J. Unmacht,PH.D.,P.C.
• John K. Bradway, M.D., P.C.
• John M. Yalam, M.D., P.C.
• John Melde Dental Services
• John Walker MD LLC
• Karen Louise John, SLP
• Gilbert Cicero Johns IV
• Johnson Dental Group
• Johnson Wellness LLC

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.