Black Canyon Medical
NPI 1972799856 · Allergy & Immunology Physician · Spring Valley, AZ
Black Canyon Medical is a Allergy & Immunology Physician organization in Spring Valley, AZ (NPI 1972799856).
Provider details
- NPI number
- 1972799856
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randy Hancock, Owner(623) 742-6428
- License
- 3297 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- Bradshaw Mountain Family Medicine
Registry dates
- Enumerated
- 2007-09-24
- Last updated
- 2007-09-24
Frequently asked questions
- What is Black Canyon Medical's NPI number?
- Black Canyon Medical's National Provider Identifier (NPI) is 1972799856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Canyon Medical?
- Black Canyon Medical is classified in the NPPES registry as Allergy & Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Black Canyon Medical located?
- Black Canyon Medical's practice location on file with NPPES is 17301 E Spring Valley Rd, Spring Valley, AZ 86333-4263.
- What is Black Canyon Medical's phone number?
- The practice phone number listed in the NPPES registry for Black Canyon Medical is (928) 632-4909.
- Who is the authorized official for Black Canyon Medical?
- The authorized official listed on Black Canyon Medical's NPPES record is Randy Hancock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Canyon Medical's NPI active?
- Yes — Black Canyon Medical's NPI (1972799856) is active in the NPPES registry as of the last update on 2007-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.