Organization Active NPI

Bruce L Dalkin MD PC

  • Urology Physician
  • Tucson, AZ
National Provider Identifier
1871587659
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
19855 Issued in AZ
Legal business name
BRUCE L DALKIN MD PC
Practice address
5240 E Knight Dr
Suite 108
Tucson, AZ 85712-2122
Phone
(520) 321-4266
Fax
(520) 321-4048
NPI assigned
Sep 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce L DalkinNPI 1700086089
Title
MD/President
Phone
(520) 321-4266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 19855 AZ Primary

Addresses

Primary practice location

5240 E Knight Dr
Suite 108
Tucson, AZ 85712-2122

Mailing address

5240 E Knight Dr
Suite 108
Tucson, AZ 85712-2122
Phone (520) 321-4266

Other identifiers 1

IdentifierTypeStateIssuer
046450MedicaidAZ

National Provider Directory

National Provider Directory

Locations

5240 E Knight Dr
Ste 108
Tucson, AZ 85712
Phone (520) 321-4266

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871587659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 E KNIGHT DR",
            "address_2": "SUITE 108",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122122",
            "telephone_number": "520-321-4266",
            "fax_number": "520-321-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 E KNIGHT DR",
            "address_2": "SUITE 108",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122122",
            "telephone_number": "520-321-4266",
            "fax_number": "520-321-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE L DALKIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALKIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "520-321-4266"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "19855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046450",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.