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

Adam Keith Boettcher, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1134325012

Adam Keith Boettcher, MD is a Plastic and Reconstructive Surgery in Flagstaff, Arizona. Graduated from University of Minnesota Medical School in 2007, 19 years ago. Practices with Plastic Surgeons of Northern Arizona P L L C, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Michigan.

Years since qualifying
19
Trained at
University of Minnesota Medical School
Licensed in
AZ, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1020 N San Francisco St Ste 200
Flagstaff, AZ 86001-3281
Phone: (928) 774-2300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Monroe Ave Nw, Grand Rapids, MI 49503-1455 — (616) 732-6200

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301090356 (MI)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 45896 (AZ)

Record details

NPI number1134325012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 26, 2007
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2007 (19 years in practice)
Group practice Plastic Surgeons Of Northern Arizona P L L C — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount