NPI 1003619354
Bfdrmp Medical Group LLC
Practice location
- Address
- 21001 N Tatum Blvd STE 78-1640, Phoenix, AZ 85050-5244
- Phone
- (480) 306-7832
- Fax
- (480) 926-2260
- Mailing address
- PO Box 6610, Chandler, AZ 85246-6610
Authorised official
- Name
- Tyler Stout
- Title
- Owner
- Phone
- (337) 315-7927
Registered specialties (6)
General Practice Physician
Primary
Chiropractor
Physical Medicine & Rehabilitation Physician
Physical Therapist
Physician Assistant
Nurse Practitioner
Registry record
- NPI
- 1003619354
- Entity type
- Organization
- NPI issued
- 31 Mar 2025
- Record last updated
- 26 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.