What is BFDRMP MEDICAL GROUP LLC's NPI number?

The NPI number assigned to this healthcare provider is 1003619354, enumerated as a organization on March 31, 2025.

Where is the provider located?

The provider is located at 21001 N TATUM BLVD STE 78-1640 PHOENIX, AZ 85050 and the phone number is (480) 306-7832.

What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

BFDRMP MEDICAL GROUP LLC - NPI 1003619354 - General Practice in Phoenix, AZ

On this page

About Bfdrmp Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BFDRMP MEDICAL GROUP LLC (NPI 1003619354) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since March 2025. The organization lists Tyler Stout, Owner, as its authorized official.

NPPES Registry Identity

NPI1003619354

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameBFDRMP MEDICAL GROUP LLC

Location Address21001 N TATUM BLVD STE 78-1640Phoenix, AZ 85050-5244

Mailing AddressPo Box 6610Chandler, AZ 85246-6610 · (480) 926-7800 · Fax (480) 926-2260

Phone(480) 306-7832

Fax(480) 926-2260

Organization SubpartNo

Authorized OfficialTyler StoutOwner · (337) 315-7927

Enumeration DateMarch 31, 2025

Last NPPES UpdateJune 26, 20252 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1003619354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedChiropractorTaxonomy 111N00000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

21001 N TATUM BLVD STE 78-1640, Phoenix, AZ 85050

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP