Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Banner Medical Group Care Gap LLC

Organization Multi-Specialty Clinic/Center · NPI 1942058672

Banner Medical Group Care Gap LLC is a Multi-Specialty Clinic/Center in Phoenix, Arizona. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone: (602) 747-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4720 E Greenway Rd, Phoenix, AZ 85032-4355 — (602) 439-6000

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1942058672
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Health
Authorized official Shiva Birdi — Ceo/Bmg · (602) 747-4000
NPI enumeratedMay 8, 2024
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702

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