BRUCE JOSEPH BENAGLIO PA-C NPI 1659605921

NPI Information

NPI: 1659605921
Provider Name: BRUCE JOSEPH BENAGLIO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
14961 W BELL RD
STE 175
SURPRISE, AZ
ZIP 85374
Phone: (623) 242-9830
Get Directions

Bruce Joseph Benaglio, PA-C is a medical physician assistant in Surprise, AZ. Bruce Joseph Benaglio, PA-C NPI is 1659605921. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14961 W BELL RD
STE 175
SURPRISE, AZ
ZIP 85374-200
Phone: (623) 242-9830
Fax: (623) 243-6733

The NPI 1659605921 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2009 and was last updated on 3/18/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	2752	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	489355	MEDICAID	ARIZONA
2	Z135213	MEDICARE PIN	ARIZONA

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

NPI Synchronization or Removal

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