Az Health Centers, PLLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

47952 Issued in AZ

Legal business name

AZ HEALTH CENTERS, PLLC

Doing business as

AZ Spine Disc and Sport

Practice address

4530 E Ray Rd
Ste 110
Phoenix, AZ 85044-6094

Phone

(480) 759-1668

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Eric C Breure, DC

Title

Owner

Phone

(480) 759-1668

Specialties & licenses 2

Addresses

Other names 1

• AZ Spine Disc and Sport Doing business as

Practitioners 1

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

• Michael J Gengle, PA-C, DDS

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1831310879
  NPD

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611964800000",
    "number": "1992119986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E RAY RD STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446095",
            "telephone_number": "480-759-1668",
            "fax_number": "480-759-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 E RAY RD",
            "address_2": "STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446094",
            "telephone_number": "480-759-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ HEALTH CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A",
        "authorized_official_last_name": "BREURE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-759-1668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AZ",
            "license": "47952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Spine Disc and Sport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AZ Spine Disc and Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Az Hospice Care Inc

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.