NPIMap

Organization Active NPI

Dispatchhealth-Arizona

Doing business as DispatchHealth

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1922532944
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
DISPATCHHEALTH-ARIZONA
Doing business as
DispatchHealth
Practice address
4602 E University Dr Ste 150
Phoenix, AZ 85034-7423
Phone
(520) 442-2269
NPI assigned
Apr 17, 2017
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Bruce Allen Johnson
Title
Ocg/Ao
Phone
(303) 589-4149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

4602 E University Dr Ste 150
Phoenix, AZ 85034-7423

Mailing address

3825 N Lafayette St
Denver, CO 80205-3316
Phone (303) 500-1518

Other practice location 1

1705 W University Dr Ste 104
Tempe, AZ 85281-3269
Phone (480) 493-3444

Other names 1

  • DispatchHealth Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170731003542 AZ Part B Supplier - Clinic/Group Practice 7810268422 Receives reassigned benefits from 135 practitioners
Practice locations: Tucson, AZ; Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2134311Dispatchhealth - Arizona, PC4602 E University Dr Ste 150, Phoenix, AZ 85034AccreditationJun 1, 2027

National Provider Directory

National Provider Directory

Locations

8751 N 51st Ave
Ste 118
Glendale, AZ 85302
Phone (480) 493-3444

1934 E Camelback Rd
Ste 120
Phoenix, AZ 85016

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

1705 W University Dr
Ste 104
Tempe, AZ 85281
Phone (480) 493-3444

Practitioners & affiliated clinicians

Practitioners 145

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.

View all 145

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1922532944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053316",
            "telephone_number": "303-500-1518",
            "fax_number": "720-598-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 E UNIVERSITY DR STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347423",
            "telephone_number": "520-442-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 W University Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852813269",
            "country_code": "US",
            "telephone_number": "480-493-3444",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DISPATCHHEALTH-ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OCG/AO",
        "authorized_official_telephone_number": "303-589-4149"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DispatchHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 1, 2025; 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.