Bradley Gonik, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

67841 Issued in AZ

Practice address

1830 S Alma School Rd Ste 130
Mesa, AZ 85210-3088

Phone

(480) 565-8590

Fax

(480) 856-0285

NPI assigned

Mar 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Florida Atlantic University, College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sabra Primary Care PLLCGroup PAC ID 9739674268, 2 clinicians

Premier Medical Group LLCGroup PAC ID 9335132604, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281
• Friendship Village of Tempe Nursing home, Tempe, AZ, CCN 035074

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sabra Primary Care PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1659247179
  Medicare reassignment Care Compare group NPD Authorized official
• Premier Medical Group, LLC

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1467534487
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health at Home, LLC

  • Home Health Agency
  • Chandler, AZ
  • NPI 1831678218
  Care Compare affiliation
• Tempe Life Care Village Inc

  dba Friendship Village of Tempe

  • Skilled Nursing Facility
  • Tempe, AZ
  • NPI 1386635134

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1952862765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 130",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103088",
            "telephone_number": "480-565-8590",
            "fax_number": "480-856-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 130",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103088",
            "telephone_number": "480-565-8590",
            "fax_number": "480-856-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONIK",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "67841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlen Gomez, BCBA
• Michelle Evelyn Gomez, FNP
• Rosemary Gomez
• Sarah S Gomez
• Jose Gongora
• Desanne Gonsalves
• Caitlin Elizabeth Gonzales, PHARMD
• Debra Gonzales, RN
• Heather Lauren Gonzales, PH.D., BCBA-D, BHP
• Makenna Gonzales

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, 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 Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.