MEDICARE: REVENITY MEDICAL BILLING LLC

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	171W00000X	Contractor

General Provider Information

NPI Number	:	1891643029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REVENITY MEDICAL BILLING LLC

Provider Business Mailing Address
First Line	:	4539 N 22ND ST STE N
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4639
Country	:	US
Telephone Number	:	305-772-6919
Fax Number	:

Provider Business Practice Location Address
First Line	:	21735 N 91ST DR
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-8343
Country	:	US
Telephone Number	:	305-772-6919
Fax Number	:

Authorized Official
Title or Position	:	CRO
Name	:	APRIL IRENE BRUCE
Credential	:	B.S., R.T.(R)(ARRT)
Telephone Number	:	305-772-6919

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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Directions to “REVENITY MEDICAL BILLING LLC ” Practice Location

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