Healthcare Provider Details
I. General information
NPI: 1831793611
Provider Name (Legal Business Name): CAMELBACK SPINE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/23/2020
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3815 E BELL RD STE 2700
PHOENIX AZ
85032-2155
US
IV. Provider business mailing address
3815 E BELL RD STE 2700
PHOENIX AZ
85032-2155
US
V. Phone/Fax
- Phone: 602-714-6970
- Fax: 602-714-5176
- Phone: 602-714-6970
- Fax: 602-714-5176
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0117X |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HARVINDER
S
BEDI
Title or Position: OWNER / PHYSICIAN
Credential: MD
Phone: 602-714-6970