NPI 1962429878 · live from the CMS NPI Registry
Bullhead City Clinic Corp
Surgery in Bullhead City, AZ. National Provider Identifier 1962429878, active.
NPI record
| NPI | 1962429878 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Surgery 208600000X |
| Practice location | 2500 Canyon Rd Bldg B, Bullhead City, AZ 86442 |
| Practice phone | 928-763-9290 |
| Mailing address | Po Box 689022, Franklin, TN 37068 |
| Enumerated | July 16, 2006 |
| Last updated | June 25, 2025 |
| Authorized official | Kristina Music, Director Of Provider Enrollment |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Otolaryngology | 207Y00000X | — |
| Urology | 208800000X | — |
| Surgery primary | 208600000X | 4270 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.