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RENE GONZALEZ GARCIA MD
NPI 1639269913
General Practice in Bullhead City, AZ

Active since October 15, 2006PECOS Enrolled
1957 HWAY 95 STE 23, BULLHEAD CITY, AZ 86442(928) 234-3834(602) 792-7270 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2023, Dec 14, 2020, Jul 3, 2019 (3 updates tracked since 2019).

About Rene Gonzalez Garcia Md NPPES

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

RENE GONZALEZ GARCIA MD (NPI 1639269913) is an individual general practice provider in Bullhead City, Arizona, licensed in Michigan (4301117103) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1639269913
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameRENE GONZALEZ GARCIACredential: MD
Location Address1957 HWAY 95 STE 23Bullhead City, AZ 86442-6744
Mailing AddressPo Box 90182Henderson, NV 89009-0182 · (928) 293-5999
Phone(928) 234-3834
Fax(602) 792-7270
Sole ProprietorYes
Enumeration DateOctober 15, 2006
Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1639269913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in MI · 4301117103✔ Licensed in PR · 15953
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 ListedAcupuncturistTaxonomy 171100000X · License 587 (PR)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301117103 (MI)
1957 HWAY 95 STE 23, Bullhead City, AZ 86442
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11343 N Alma School Rd Ste 160Chandler, AZ 85224-5901 · Phone (480) 432-8822
Location 21609 E Vine StKissimmee, FL 34744-3733 · Phone (407) 944-9106 · Fax (407) 944-1319
Location 321700 Greenfield Rd Ste 203Oak Park, MI 48237 · Phone (248) 967-0115 · Fax (248) 967-0136

Other Identifiers 1

OtherDJ664APR · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rene Gonzalez Garcia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rene Gonzalez Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs Ihs Phoenix Area
73 mi
Clinic/Center
943 HUALAPAI WAY
Peach Springs, AZ 86434
  • Reassigned Medicare billing, Texas enrollment
  • 210 clinicians in this Medicare group
NPI 1265719934 (928) 769-2900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

JR RENAISSANCE HEALTH SERVICES, PLLC
Family Medicine
1957 HWAY 95 STE 23
BULLHEAD CITY, AZ 86442
Mohave County (928) 234-3834
JR RENAISSANCE HEALTH SERVICES
Clinic/Center
1957 HWAY 95 STE 23
BULLHEAD CITY, AZ 86442
Mohave County (928) 234-3834

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 Rene Gonzalez Garcia's NPI number?

The NPI number for Rene Gonzalez Garcia is 1639269913. It was assigned to this individual provider in the NPPES registry on October 15, 2006.

Where is Rene Gonzalez Garcia located?

Rene Gonzalez Garcia practices at 1957 Hway 95 Ste 23, Bullhead City, AZ 86442. The listed phone number is (928) 234-3834.

What is Rene Gonzalez Garcia's specialty?

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

Is Rene Gonzalez Garcia enrolled in Medicare?

Yes. Rene Gonzalez Garcia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rene Gonzalez Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rene Gonzalez Garcia reassigns Medicare benefits to Dhhs Ihs Phoenix Area (Peach Springs, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rene Gonzalez Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rene Gonzalez Garcia was last updated on March 2, 2023. 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.