OrganizationActive
Maryvale Pediatric Clinic
NPI 1366605529 · Pediatrics Physician · Phoenix, AZ
Maryvale Pediatric Clinic is a Pediatrics Physician organization in Phoenix, AZ (NPI 1366605529).
Provider details
- NPI number
- 1366605529
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Harry Broome, Owner(623) 846-7575
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4700 N. 51st Avenue
Suite #4
Phoenix, AZ 85031
Phone: (623) 846-7575
Fax: (623) 846-3778
Street-level locationGet directions
Mailing address
4700 N. 51st Avenue
Phoenix, AZ 85031
Other names (DBA / former)
- Doing business as
- Mvp Kids Care
Registry dates
- Enumerated
- 2008-07-08
- Last updated
- 2015-01-22
Frequently asked questions
- What is Maryvale Pediatric Clinic's NPI number?
- Maryvale Pediatric Clinic's National Provider Identifier (NPI) is 1366605529, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maryvale Pediatric Clinic?
- Maryvale Pediatric Clinic is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Maryvale Pediatric Clinic located?
- Maryvale Pediatric Clinic's practice location on file with NPPES is 4700 N. 51st Avenue, Phoenix, AZ 85031.
- What is Maryvale Pediatric Clinic's phone number?
- The practice phone number listed in the NPPES registry for Maryvale Pediatric Clinic is (623) 846-7575.
- Who is the authorized official for Maryvale Pediatric Clinic?
- The authorized official listed on Maryvale Pediatric Clinic's NPPES record is Harry Broome, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maryvale Pediatric Clinic's NPI active?
- Yes — Maryvale Pediatric Clinic's NPI (1366605529) is active in the NPPES registry as of the last update on 2015-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.