BFPHX MEDICAL GROUP LLC
NPI 1043013386
General Practice in Phoenix, AZ

Q: What is Bfphx Medical Group LLC's NPI number?

The NPI number for Bfphx Medical Group LLC is 1043013386. It was assigned to this organization in the NPPES registry on March 31, 2025.

Q: What is Bfphx Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 31, 2025

2836 E INDIAN SCHOOL RD STE A8, PHOENIX, AZ 85016(602) 840-0056 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Mar 31, 2025 (2 updates tracked since 2025).

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About Bfphx Medical Group Llc NPPES

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

BFPHX MEDICAL GROUP LLC (NPI 1043013386) 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, Manager, as its authorized official.

NPPES Registry Identity

NPI1043013386

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameBFPHX MEDICAL GROUP LLC

Location Address2836 E INDIAN SCHOOL RD STE A8Phoenix, AZ 85016-6864

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

Phone(602) 840-0056

Organization SubpartNo

Authorized OfficialTyler StoutManager · (337) 315-7927

Enumeration DateMarch 31, 2025

Last NPPES UpdateJune 26, 20252 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1043013386 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

2836 E INDIAN SCHOOL RD STE A8, Phoenix, AZ 85016

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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

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN CALLAHAN PA-C

Physician Assistant