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

Dr. Brian Lightwine, DO

Individual provider Pediatric Radiology Physician · NPI 1154856508

Dr. Brian Lightwine, DO is a Diagnostic Radiology in Tucson, Arizona. Qualified in 2017, 9 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone: (520) 694-4034
Show map & directions

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

Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X · Licence 010337 (AZ)

Record details

NPI number1154856508
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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