Organization · Type 2 NPI

Bmi423i

Family Medicine Physician · Prescott, AZ

NPI number 1407683162 Active

Practice location

412 Whipple St
Prescott, AZ 86301-1712

Call (480) 788-5621 Map

Fax (480) 779-1277

Other practice locations

1653 E Mcmurray Blvd Ste 144, Casa Grande, AZ 85122-5934 · (602) 730-6438

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: 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.

6 other providers at this address

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About NPI 1407683162

Bmi423i's National Provider Identifier is 1407683162, issued on Sep 17, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Prescott, AZ. The record was last updated on Nov 24, 2025.