NORTH PHOENIX INTERNAL MEDICINE PC
NPI 1700850492
Clinic/Center - Health Service in Phoenix, AZ

Active since February 17, 2006CLIA 03D0865172 · Waiver
1747 E MORTEN AVE, SUITE 303, PHOENIX, AZ 85020(602) 589-0370(602) 589-0650 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Phoenix Internal Medicine Pc NPPES

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

NORTH PHOENIX INTERNAL MEDICINE PC (NPI 1700850492) is a healthcare organization registered as a health service in Phoenix, Arizona and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists William Kent Brubaker, Doctor, as its authorized official.

NPPES Registry Identity

NPI1700850492
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameNORTH PHOENIX INTERNAL MEDICINE PC
Location Address1747 E MORTEN AVE, SUITE 303Phoenix, AZ 85020-4602
Mailing Address1747 E Morten Ave, Suite 303Phoenix, AZ 85020-4602 · (602) 589-0370 · Fax (602) 589-0650
Fax(602) 589-0650
Organization SubpartNo
Authorized OfficialWilliam Kent BrubakerDoctor · (602) 589-0370
Enumeration DateFebruary 17, 2006
Last NPPES UpdateSeptember 5, 2007
NPI 1700850492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in AZ · 14717
1747 E MORTEN AVE, Phoenix, AZ 85020

Other Identifiers 2

Medicare UPIND36612AZ
Medicare ID-Type UnspecifiedWDBRDAZ

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0865172

North Phoenix Internal Medicine · Phoenix, AZ
Active · expires Aug 31, 2026
CLIA Number03D0865172
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorW Kent Brubaker MD
Laboratory Phone(602) 589-0370
Laboratory LocationNorth Phoenix Internal Medicine1747 E Morten Ste 303, Phoenix, AZ 85020
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1747 E MORTEN AVE, SUITE 301
PHOENIX, AZ 85020

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 North Phoenix Internal Medicine PC's NPI number?

The NPI number for North Phoenix Internal Medicine PC is 1700850492. It was assigned to this organization in the NPPES registry on February 17, 2006.

Where is North Phoenix Internal Medicine PC located?

North Phoenix Internal Medicine PC is located at 1747 E Morten Ave Suite 303, Phoenix, AZ 85020. The listed phone number is (602) 589-0370.

What is North Phoenix Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does North Phoenix Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0865172) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Phoenix Internal Medicine PC accept?

Health plans from Ambetter from Arizona Complete Health list North Phoenix Internal Medicine PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Phoenix Internal Medicine PC was last updated on September 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.