BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1164150363
Nutritionist - Nutrition, Education in Glendale, AZ

Q: What is Banner Physician Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

Active since August 15, 2022

7701 W ASPERA BLVD STES 102, 201, 301, GLENDALE, AZ 85308(623) 248-2100(623) 707-4809 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Banner Physician Specialists Arizona Llc NPPES

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

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC (NPI 1164150363) is a healthcare organization registered as a nutrition, education in Glendale, Arizona and active in the NPI registry since August 2022. The organization lists Shiva Birdi, Ceo/bmg, as its authorized official.

NPPES Registry Identity

NPI1164150363

Entity TypeOrganization

Primary Taxonomy133NN1002X

Legal Business NameBANNER PHYSICIAN SPECIALISTS ARIZONA LLC

Location Address7701 W ASPERA BLVD STES 102, 201, 301Glendale, AZ 85308-7935

Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702

Phone(623) 248-2100

Fax(623) 707-4809

Organization SubpartYesParent: Banner Medical Group

Authorized OfficialShiva BirdiCeo/bmg · (602) 747-4000

Enumeration DateAugust 15, 2022

NPPES CertifiedAugust 15, 2022

✔ NPI 1164150363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers

Taxonomy Code133NN1002X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

7701 W ASPERA BLVD STES 102, 201, 301, Glendale, AZ 85308

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Other Providers at the Same Location NPPES

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

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

Clinic/Center (Primary Care)

7701 W ASPERA BLVD STES 102, 201, 301
GLENDALE, AZ 85308

Maricopa County (623) 248-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Physician Specialists Arizona LLC's NPI number?

The NPI number for Banner Physician Specialists Arizona LLC is 1164150363. It was assigned to this organization in the NPPES registry on August 15, 2022.

Where is Banner Physician Specialists Arizona LLC located?

Banner Physician Specialists Arizona LLC is located at 7701 W Aspera Blvd Stes 102, 201, 301, Glendale, AZ 85308. The listed phone number is (623) 248-2100.

What is Banner Physician Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Banner Physician Specialists Arizona LLC was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.