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

Bryan J Ebeling

Individual provider Family Nurse Practitioner · NPI 1164058087

Bryan J Ebeling is a Nurse Practitioner in Camp Verde, Arizona. Qualified in 2020, 6 years ago. Practices with Urgent Care Northern Arizona Healthcare LLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

1298 W Finnie Flat Rd
Camp Verde, AZ 86322-5958
Phone: (928) 639-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1298 W Finnie Flat Rd, Camp Verde, AZ 86322-5958 — (928) 639-5555

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 239674 (AZ)

Record details

NPI number1164058087
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2020
Last updated in NPPESJanuary 14, 2021
Certification dateJanuary 14, 2021
Mailing address7805 W Sweetwater Trl, Flagstaff, AZ 86001-8191

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Urgent Care Northern Arizona Healthcare Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Camp Verde