Organization Active NPI

Van Buren Medicine, LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1912162850
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1645 Issued in AZ
Legal business name
VAN BUREN MEDICINE, LLC
Practice address
320 N 32ND Ave
Phoenix, AZ 85009-4220
Phone
(602) 278-1351
Fax
(602) 278-4057
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
John M Belden, D.O.NPI 1457331530
Title
Owner
Phone
(602) 278-1351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 1645 AZ Primary

Addresses

Primary practice location

320 N 32ND Ave
Phoenix, AZ 85009-4220

Mailing address

320 N 32ND Ave
Phoenix, AZ 85009-4220
Phone (602) 278-1351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180430000510 AZ Part B Supplier - Clinic/Group Practice 7719241769 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

320 N 32nd Ave
Phoenix, AZ 85009
Phone (602) 278-1351

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1912162850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N 32ND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850094220",
            "telephone_number": "602-278-1351",
            "fax_number": "602-278-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N 32ND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850094220",
            "telephone_number": "602-278-1351",
            "fax_number": "602-278-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "BELDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-278-1351",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "1645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.