BRADLEY K BECKER, PC (NPI# 1255519260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255519260 |
| Entity Type | Organization |
| Organization Name | BRADLEY K BECKER, PC |
| Practice Address |
18555 N 79th Ave Ste B102 Glendale AZ 85308-8372 |
| Practice Telephone | 6026109111 |
| Practice Fax Number | 6028674247 |
| Mailing Telephone | 6024391111 |
| Mailing Fax Number | 6028674247 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | DR. BRADLEY K BECKER (OWNER) |
| Authorized Official Telephone | 6028671302 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
3803 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19636 N 27th Ave, #206, Phoenix, AZ 850274013 | 6028671302 | 6028674247 |
| Street Address |
18555 N 79TH AVE STE B102 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245307396 | Bradley K Becker | Plastic Surgery | 18555 N 79th Ave Ste B102, Glendale, AZ 85308-8372 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750618237 | Peter H Ashjian Md A Medical Corp | Surgery | 240 S Jackson St Ste 109, Glendale, CA 91205-1594 | 2009-11-04 |
| 1023250339 | Paul D Angelchik Md PC | Surgery | 18275 N 59th Ave, Suit 170 Bldg L, Glendale, AZ 85308-1260 | 2009-04-01 |
| 1386774255 | Vatche B Bardakjian | Surgery | 1500 S Central Ave, Suite 126, Glendale, CA 91204 | 2007-03-07 |
| 1598852006 | Paul Angelchik | Surgery | 18275 N 59th Ave, Suite 170, Bldg L, Glendale, AZ 85308-1260 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174004162 | Richard Gittings Parry | Surgery | 10602 W Cameo Dr, Sun City, AZ 85351-2708 | 2018-08-27 |
| 1972022093 | Wound Management Solutions LLC | Surgery | 6900 E Camelback Road, Suite 900, Scottsdale, AZ 85251 | 2017-09-11 |
| 1396188033 | Mark Gruszynski | Surgery | 8595 E Bell Rd Ste 103, Scottsdale, AZ 85260-1306 | 2013-04-11 |
| 1578862512 | Joshua Jacob Tofield | Surgery | 5221 E Hill Place Dr, Tucson, AZ 85712-1348 | 2011-03-16 |
| 1831334861 | Joshua Robert Olson | Surgery | 1482 E Williams Field Rd, Suite B101, Gilbert, AZ 85295-1816 | 2008-12-04 |
| 1821254517 | Daniel David Sutphin | Surgery | 2460 S Parkview Loop, Suite 201, Yuma, AZ 85364-5358 | 2008-08-01 |
| 1275705188 | Atanu Biswas | Surgery | 9401 W Thunderbird Rd Ste 140, Peoria, AZ 85381-4817 | 2008-03-31 |
| 1427253566 | Apex Plastic Surgery Pllc | Surgery | 5656 S. Power Rd, Gilbert, AZ 85295-8491 | 2007-06-19 |
| 1144430182 | Jason Lee Mussman | Surgery | 10240 W. Indian School Rd., Suite 115, Phoenix, AZ 85037 | 2007-05-22 |
| 1861615262 | Remus Repta | Surgery | 3271 N Civic Center Plz Ste 105, Scottsdale, AZ 85251-6990 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.