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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PHILIP VASIN BYSTROM MD
NPI 1205397668
Surgery - Plastic and Reconstructive Surgery in Tucson, AZ

Active since March 28, 2019
1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-0111 Get Directions Write a Review

NPPES record last updated: August 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 16, 2026, Apr 11, 2025 (2 updates tracked since 2025).

About Dr. Philip Vasin Bystrom Md NPPES

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

DR. PHILIP VASIN BYSTROM MD (NPI 1205397668) is an individual plastic and reconstructive surgery provider in Tucson, Arizona, licensed in Arizona (R82692) and active in the NPI registry since March 2019. He maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1205397668
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. PHILIP VASIN BYSTROMCredential: MD
Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330
Mailing Address1501 N Campbell AveTucson, AZ 85724-0001 · (520) 694-0111
Phone(520) 694-0111
Sole ProprietorNo
Enumeration DateMarch 28, 2019
Last NPPES UpdateAugust 16, 20262 updates tracked since enumeration
NPPES CertifiedAugust 16, 2026
✔ NPI 1205397668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in AZ · R82692
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1625 N CAMPBELL AVE, Tucson, AZ 85719
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Secondary Practice Location 1

Location 11000 Oakland DrKalamazoo, MI 49008-1282 · Phone (269) 337-4400

Other Providers at the Same Location NPPES 20

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

KATELYN DESALVO MD
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 626-7944
DR. JESSICA WRIGHT
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
ALEXANDRIA TAYSOM PA
Physician Assistant
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
ERIN RIECK DO
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-8888
JESSICA HANNA NRP
Emergency Medical Technician, Paramedic
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (907) 598-3566
CHRISTOPHER J KARASCH DO
Anesthesiology
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 626-7141
DR. JOSHUA MICHAEL ROCKEY MD
Radiology (Diagnostic Radiology)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-0111
DR. ALINA NGUYEN DO
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pima County (520) 694-8888

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 Philip Bystrom's NPI number?

The NPI number for Philip Bystrom is 1205397668. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Philip Bystrom located?

Philip Bystrom practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 694-0111.

What is Philip Bystrom's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Philip Bystrom was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.