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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRADLEY C BUCKHOUT, MD

Deactivated

DR. BRADLEY C BUCKHOUT, MD is a Hospice and Palliative Medicine healthcare provider located in PHOENIX, Arizona. NPI 1962620666 is deactivated in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · PHOENIX, AZ

This NPI has been deactivated. The record was deactivated on October 25, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1962620666
Provider Type
Individual
Gender
Male
NPI Issued
May 16, 2006 (0.44383561643836 yrs)
Last Updated
Jan 8, 2015
Deactivated
Oct 25, 2006
Licenses
13405 (AZ)
13405 (AZ)
13405 (AZ)

Practice Information

Address
650 E INDIAN SCHOOL RD
CLC
PHOENIX, AZ, 850121839
Browse AZ providers · Browse ZIP 85012
Phone
6022775551
Fax
6022006039
Primary Specialty
Hospice and Palliative Medicine
207QH0002X
Additional Specialty
Geriatric Medicine

Other Hospice and Palliative Medicine Providers in PHOENIX, AZ

Name Credential NPI
DR. RAJIV SIDDARAMU MD 1699976522
DR. JAMIE RAE SPARROW D.O. 1215226667
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.