Healthcare Provider Details

I. General information

NPI: 1780046342
Provider Name (Legal Business Name): BRANDON MICHAEL BIKOWSKI-MADERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33400 N 32ND AVE
PHOENIX AZ
85085-8876
US

IV. Provider business mailing address

13008 N 3RD ST
PHOENIX AZ
85022-5210
US

V. Phone/Fax

Practice location:
  • Phone: 623-683-5000
  • Fax:
Mailing address:
  • Phone: 864-710-3731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number56862
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number56862
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: