Bladder Centers of America

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

BLADDER CENTERS OF AMERICA

Practice address

11220 N Tatum Blvd Ste 103
Phoenix, AZ 85028-1629

Phone

(480) 757-8777

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tory Lance McJunkin, MDNPI 1093850323

Title

Medical Director

Phone

(480) 757-8777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Tory Lance McJunkin, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
  • NPI 1093850323

  AZ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1992443766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 N TATUM BLVD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281629",
            "telephone_number": "480-757-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 N TATUM BLVD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281629",
            "telephone_number": "480-757-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADDER CENTERS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "MCJUNKIN",
        "authorized_official_first_name": "TORY",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-757-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bradley Blackstone, MSW
• Jeanette (Jann) Adrianne Blackstone, PSYD
• Olivia Charlotte Blackstone, DO
• Rakia C Blackwell
• Harold Daniel Blackwood, PHD
• Sonya A Bladow, D.C.
• Skye Lauren Blaesing, NP
• Dennis Roger Blaha, MD
• Mary Joanne Blaha
• Linda Ann Blaine, NP.

• All providers in Phoenix, AZ
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.