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

Bryan James Roth, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1811135817

Bryan James Roth, DPM is a Podiatry in Phoenix, Arizona. Qualified in 2006, 20 years ago. Practices with District Medical Group Inc, a 450-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Licensed in
AZ
In the registry since
2009
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2601 E Roosevelt Ave
Phoenix, AZ 85008-4973
Phone: (602) 344-5056
Fax: (602) 344-5048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0686 (AZ)

Record details

NPI number1811135817
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJanuary 29, 2009
Last updated in NPPESJanuary 12, 2012
Mailing address5423 W Beverly Rd, Laveen, AZ 85339-2896

Medicare enrollment

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

Medicare specialtyPODIATRY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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