IndividualActive
Douglas Bufkin, CRNA
NPI 1104132356 · Certified Registered Nurse Anesthetist · Phoenix, AZ
Provider details
- NPI number
- 1104132356
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 201260043CRNA (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4605 E Elwood St Ste 500
Phoenix, AZ 85040-1978
Phone: (602) 200-9021
Street-level locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Additional practice locations (2)
- 3181 Sw Sam Jackson Park RdPortland, OR 97239-3011Phone: (503) 494-7641Fax: (503) 494-8368
- 111 S 11th StSuite 8490Philadelphia, PA 19107-4824Phone: (215) 955-6161
Registry dates
- Enumerated
- 2010-08-26
- Last updated
- 2024-02-08
- Certified
- 2024-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.