Healthcare Provider Details

I. General information

NPI: 1891643029
Provider Name (Legal Business Name): REVENITY MEDICAL BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 N 22ND ST STE N
PHOENIX AZ
85016-4639
US

IV. Provider business mailing address

4539 N 22ND ST STE N
PHOENIX AZ
85016-4639
US

V. Phone/Fax

Practice location:
  • Phone: 305-772-6919
  • Fax:
Mailing address:
  • Phone: 480-450-9099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: APRIL IRENE BRUCE
Title or Position: MANAGER
Credential: B.S., R.T.(R)(ARRT)
Phone: 305-772-6919