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BLACK MOUNTAIN FAMILY MEDICINE
NPI 1861522419
Family Medicine in Scottsdale, AZ

Active since March 06, 2007
33755 N SCOTTSDALE RD, SUITE 120, SCOTTSDALE, AZ 85266(480) 595-8900(480) 595-8910 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Black Mountain Family Medicine NPPES

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

BLACK MOUNTAIN FAMILY MEDICINE (NPI 1861522419) is a healthcare organization registered as a family medicine in Scottsdale, Arizona and active in the NPI registry since March 2007. The organization lists John Bickle, President, as its authorized official.

NPPES Registry Identity

NPI1861522419
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHN S BICKLE DO PLC
Location Address33755 N SCOTTSDALE RD, SUITE 120Scottsdale, AZ 85266-1567
Mailing Address33755 N Scottsdale Rd, Suite 120Scottsdale, AZ 85266-1567 · (480) 595-8900 · Fax (480) 595-8910
Phone(480) 595-8900
Fax(480) 595-8910
Organization SubpartNo
Authorized OfficialJohn BicklePresident · (480) 595-8900
Enumeration DateMarch 6, 2007
Last NPPES UpdateMay 19, 2008
✔ NPI 1861522419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 30905
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
33755 N SCOTTSDALE RD, Scottsdale, AZ 85266
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Other Names 1

Doing Business AsBlack Mountain Family Medicine

Other Identifiers 3

OtherAZ0714850AZ · Blue Cross
Medicare UPINF45118AZ
Medicare PINZ115231AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Black Mountain Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Black Mountain Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Bickle, D.O.
Family Practice
NPI 1134136591
33755 N SCOTTSDALE RD STE 120
Scottsdale, AZ 85266
(480) 595-8900
✔ PECOS✔ Accepts MedicareSame address

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

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 John S Bickle Do Plc's NPI number?

The NPI number for John S Bickle Do Plc is 1861522419. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is doing business as Black Mountain Family Medicine.

Where is John S Bickle Do Plc located?

John S Bickle Do Plc is located at 33755 N Scottsdale Rd Suite 120, Scottsdale, AZ 85266. The listed phone number is (480) 595-8900.

What is John S Bickle Do Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John S Bickle Do Plc enrolled in Medicare?

Yes. John S Bickle Do Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John S Bickle Do Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to John S Bickle Do Plc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for John S Bickle Do Plc was last updated on May 19, 2008. 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.