MEDICARE: BREAST CARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	19443	AZ

General Provider Information

NPI Number	:	1154366029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREAST CARE PC

Provider Business Mailing Address
First Line	:	16620 N 40TH ST
Second Line	:	STE. H3
City	:	PHOENIX
State	:	AZ
Zip	:	85032-3348
Country	:	US
Telephone Number	:	602-971-5002
Fax Number	:	602-368-4638

Provider Business Practice Location Address
First Line	:	16620 N 40TH ST
Second Line	:	STE. H3
City	:	PHOENIX
State	:	AZ
Zip	:	85032-3348
Country	:	US
Telephone Number	:	602-971-5002
Fax Number	:	602-368-4638

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTI S. BOURNE
Credential	:	M.D.
Telephone Number	:	602-971-5002

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	10/03/2007

Similar Medicare Providers

1700859493 — MICHAEL LAVARNWAY DO
Practice Location Address:

16620 N 40TH ST STE E-1
PHOENIX, AZ
85032-3348

Practice Phone: 602-464-9576
Practice Fax:

1134188956 — DR. MARK EVERETT BRADFORD JOHNSON MD, MBA
Practice Location Address:

16620 N 40TH ST , STE I-5
PHOENIX, AZ
85032-3348

Practice Phone: 602-482-1300
Practice Fax: 480-718-7342

1609836352 — DR. RUSSELL W CYPHERS DDS
Practice Location Address:

16620 N 40TH ST , SUITE G-1
PHOENIX, AZ
85032-3348

Practice Phone: 602-996-9022
Practice Fax: 602-788-9216

1114988672 — DR. ROBERT J FAUER M.D
Practice Location Address:

16620 N 40TH ST , SUITE C1
PHOENIX, AZ
85032-3348

Practice Phone: 602-923-6666
Practice Fax: 602-923-7676

1891757449 — DR. JOHN A BAMBERL D.O.
Practice Location Address:

16620 N 40TH ST , SUITE E
PHOENIX, AZ
85032-3348

Practice Phone: 602-467-0222
Practice Fax: 602-467-0909

1134165657 — ARIZONA SKIN SPECIALISTS PLLC
Practice Location Address:

16620 N 40TH ST , STE I-5
PHOENIX, AZ
85032-3348

Practice Phone: 602-482-1300
Practice Fax:

Directions to “BREAST CARE PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.