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BCG ONCOLOGY PC NPI 1336233980


NPI Information

NPI: 1336233980
Provider Name: BCG ONCOLOGY, PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 03D1046619

Address:
16620 N 40TH STREET
SUITE E
PHOENIX, AZ
ZIP 85032
Phone: (602) 493-6626
Get Directions

BCG ONCOLOGY, PC is an urology in Phoenix, AZ. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BCG ONCOLOGY, PC NPI is 1336233980. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16620 N 40TH STREET
SUITE E
PHOENIX, AZ
ZIP 85032-357
Phone: (602) 493-6626
Fax: (602) 996-1383

The provider's authorized official is Donald Lee Lamm .
The authorized official title is President and has the following contact phone number (602) 493-6626.

The CLIA number assigned to this NPI record is 03D1046619 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 9/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology29562ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z84794MEDICARE PINARIZONA
2A72456MEDICARE UPINARIZONA
3597320MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.