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BRADSHAW MOUNTAIN FAMILY MEDICINE
NPI 1972799856
Allergy & Immunology in Spring Valley, AZ

Active since September 24, 2007
17301 E SPRING VALLEY RD, STE F, SPRING VALLEY, AZ 86333(928) 632-4909(623) 374-5576 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bradshaw Mountain Family Medicine NPPES

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

BRADSHAW MOUNTAIN FAMILY MEDICINE (NPI 1972799856) is a healthcare organization registered as an allergy & immunology in Spring Valley, Arizona and active in the NPI registry since September 2007. The organization lists Randy Charles Hancock, Owner, as its authorized official.

NPPES Registry Identity

NPI1972799856
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameBLACK CANYON MEDICAL
Location Address17301 E SPRING VALLEY RD, STE FSpring Valley, AZ 86333-4263
Mailing Address46641 N Black Canyon Hwy, Ste 5New River, AZ 85087-6941 · (623) 742-6428 · Fax (623) 465-1561
Phone(928) 632-4909
Fax(623) 374-5576
Organization SubpartNo
Authorized OfficialRandy Charles HancockOwner · (623) 742-6428
Enumeration DateSeptember 24, 2007
✔ NPI 1972799856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in AZ · 3297
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
17301 E SPRING VALLEY RD, Spring Valley, AZ 86333
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Other Names 1

Doing Business AsBradshaw Mountain Family Medicine

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

Other Providers at the Same Location NPPES

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

BLACK CANYON MEDICAL L.L.C.
Family Medicine
17301 E SPRING VALLEY RD
MAYER, AZ 86333
Yavapai County (928) 632-4909

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 Black Canyon Medical's NPI number?

The NPI number for Black Canyon Medical is 1972799856. It was assigned to this organization in the NPPES registry on September 24, 2007. The provider is doing business as Bradshaw Mountain Family Medicine.

Where is Black Canyon Medical located?

Black Canyon Medical is located at 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333. The listed phone number is (928) 632-4909.

What is Black Canyon Medical's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

When was this NPI record last updated?

The NPPES record for Black Canyon Medical was last updated on September 24, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.