Healthcare Provider Details

I. General information

NPI: 1811372345
Provider Name (Legal Business Name): BONHOEFFER RHEUMATOLOGY INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2015
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 E BASELINE RD SUITE 425
GILBERT AZ
85234-2471
US

IV. Provider business mailing address

2451 E BASELINE RD STE 425
GILBERT AZ
85234-0049
US

V. Phone/Fax

Practice location:
  • Phone: 480-494-2770
  • Fax: 480-494-2771
Mailing address:
  • Phone: 480-494-2770
  • Fax: 480-494-2771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number12739741
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: CALLIE TURK
Title or Position: CEO
Credential:
Phone: 480-494-2770