Active NPI
Bruce L Dalkin MD PC
- Urology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 19855
- 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, 2020
- 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
- Bruce L Dalkin
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046450 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Urology Physician
- Tucson, AZ
- NPI 1700086089
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.