OrganizationActive
Bradley K Becker, PC
NPI 1255519260 · Plastic and Reconstructive Surgery Physician · Glendale, AZ
Provider details
- NPI number
- 1255519260
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bradley Becker, Owner(602) 867-1302
- License
- 3803 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
18555 N 79th Ave Ste B102
Glendale, AZ 85308-8372
Phone: (602) 610-9111
Fax: (602) 867-4247
Approximate (ZIP-level) locationGet directions
Mailing address
18555 N 79th Ave Ste B102
Glendale, AZ 85308-8372
Registry dates
- Enumerated
- 2008-02-01
- Last updated
- 2020-05-11
- Certified
- 2020-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.