BULLHEAD CITY CLINIC CORP – NPI #1962429878
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

BULLHEAD CITY CLINIC CORP is a surgeon located in BULLHEAD CITY, AZ. NPPES has assigned the NPI number 1962429878 to BULLHEAD CITY CLINIC CORP on July 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jun 25, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BULLHEAD CITY CLINIC CORP below.

NPI Profile for
BULLHEAD CITY CLINIC CORP

NPI Number
1962429878
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BULLHEAD CITY CLINIC CORP
Primary location
2500 CANYON RD BLDG B
BULLHEAD CITY, AZ 86442-8624
Phone: (928) 763-9290 Fax:
Mailing address
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone: (615) 465-3371 Fax:
Organization Subpart
Yes - BULLHEAD CITY CLINIC CORP is subpart of another organization.
Authorized Official
KRISTINA MUSIC
DIRECTOR OF PROVIDER ENROLLMENT
Phone: (877) 892-9815
Updated
Certification Date
Jun 25, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BULLHEAD CITY CLINIC CORP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ332390
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.