Individual provider Active NPI

Bryce A Hilmo, P.A.

  • Medical Physician Assistant
  • Tempe, AZ
National Provider Identifier
1962707869
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA056076 Issued in PA
Practice address
1255 W Rio Salado Pkwy Ste 107
Tempe, AZ 85281
Phone
(480) 962-0071
Fax
(480) 962-0590
NPI assigned
Jan 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 7884895-1206 UT
Medical Physician Assistant 363AM0700X MA056076 PA Primary

Addresses

Primary practice location

1255 W Rio Salado Pkwy Ste 107
Tempe, AZ 85281

Mailing address

1255 W Rio Salado Pkwy Ste 107
Tempe, AZ 85281-2892
Phone (480) 962-0071

Other practice location 1

250 Cetronia Rd
Allentown, PA 18104-9147
Phone (610) 973-6200

Other identifiers 1

IdentifierTypeStateIssuer
091993MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Eclinical Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111002298 AZ Practitioner - Physician Assistant 3375705007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

1255 W Rio Salado Pkwy
Suite 107
Tempe, AZ 85281-2892
Phone (480) 962-0071

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381

3717 S Rome St
Suite 106
Gilbert, AZ 85297-7368
Phone (480) 962-0071

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

Hospital & facility affiliations

  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7884895-1206UTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Medical CurrentSince Mar 21, 2022 Accepting new patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
Honorhealth Ambulatory CurrentSince Mar 21, 2022 Accepting new patients
Yuma Regional Medical Center CurrentSince May 13, 2024 Accepting new patients
Orthopaedic Associates of Allentown Past Accepting new patients

Locations

3717 S Rome St
Ste 106
Gilbert, AZ 85297
Phone (623) 683-8184

5681 W Beverly Ln
Ste 101
Glendale, AZ 85306

33300 N 32nd Ave
Ste 205
Phoenix, AZ 85085
Phone (602) 962-0071

9700 N 91st St
Ste B1058
Scottsdale, AZ 85258

20745 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 534-4525

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

1255 W Rio Salado Pkwy
Ste 107
Tempe, AZ 85281
Phone (602) 443-4170

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2460 S Parkview Loop
Ste 3
Yuma, AZ 85364
Phone (928) 336-5483

Interoperability endpoints

  • Direct secure messaging: bhilmo105314@direct.honorhealth.com
  • Direct secure messaging: brycehilmo@asjh.medalliesdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1962707869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W RIO SALADO PKWY STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812892",
            "telephone_number": "480-962-0071",
            "fax_number": "480-962-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W RIO SALADO PKWY STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "480-962-0071",
            "fax_number": "480-962-0590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 CETRONIA RD",
            "address_purpose": "LOCATION",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049147",
            "country_code": "US",
            "telephone_number": "610-973-6200",
            "fax_number": "866-644-0894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILMO",
        "first_name": "BRYCE",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "7884895-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091993",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Eclinical",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Eclinical",
            "address_1": "1255 W Rio Salado Pkwy Ste 107",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852812892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.