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BRADSHAW MOUNTAIN FAMILY MEDICINE LLC
NPI 1902262272
Nurse Practitioner - Family in Dewey, AZ

Active since January 02, 2016
1163 E OLD CHISHOLM TRAIL SUITE C, DEWEY, AZ 86327(928) 710-1971(844) 250-8735 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2023, Dec 2, 2019, Jan 2, 2016 (3 updates tracked since 2016).

About Bradshaw Mountain Family Medicine Llc NPPES

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

BRADSHAW MOUNTAIN FAMILY MEDICINE LLC (NPI 1902262272) is a healthcare organization registered as a family in Dewey, Arizona and active in the NPI registry since January 2016. The organization lists Susan Murphy, Owner, as its authorized official.

NPPES Registry Identity

NPI1902262272
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBRADSHAW MOUNTAIN FAMILY MEDICINE LLC
Location Address1163 E OLD CHISHOLM TRAIL SUITE CDewey, AZ 86327
Mailing Address2030 W Baseline Rd Ste 182-549Phoenix, AZ 85041-6574 · (928) 683-1170 · Fax (833) 675-0005
Phone(928) 710-1971
Fax(844) 250-8735
Organization SubpartNo
Authorized OfficialSusan MurphyOwner · (480) 542-9906
Enumeration DateJanuary 2, 2016
Last NPPES UpdateJanuary 25, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1902262272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · RN145916 AP7984
1163 E OLD CHISHOLM TRAIL SUITE C, Dewey, AZ 86327
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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

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 Bradshaw Mountain Family Medicine LLC's NPI number?

The NPI number for Bradshaw Mountain Family Medicine LLC is 1902262272. It was assigned to this organization in the NPPES registry on January 2, 2016.

Where is Bradshaw Mountain Family Medicine LLC located?

Bradshaw Mountain Family Medicine LLC is located at 1163 E Old Chisholm Trail Suite C, Dewey, AZ 86327. The listed phone number is (928) 710-1971.

What is Bradshaw Mountain Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bradshaw Mountain Family Medicine LLC was last updated on January 25, 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.