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

Dr. Shane M Bezzant, MD

Individual provider Diagnostic Radiology Physician · NPI 1033190202

Dr. Shane M Bezzant, MD is a Diagnostic Radiology in Phoenix, Arizona. Graduated from George Washington University School of Medicine in 2002, 24 years ago. Practices with Arizona Diagnostic Radiology Group LLC, a 63-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Arizona and Indiana.

Years since qualifying
24
Trained at
George Washington University School of Medicine
Licensed in
AZ, IN
In the registry since
2005
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

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone: (602) 406-3430
Fax: (602) 406-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 4915 E Baseline Rd, Gilbert, AZ 85234-2965 — (808) 681-2743
  • 7330 N 99th Ave Ste 200, Glendale, AZ 85307-3018 — (602) 406-0033
  • 17040 N 51st Ave Ste 100, Glendale, AZ 85308-1496 — (602) 406-1164
  • 4975 N Dysart Rd Unit 100, Litchfield Park, AZ 85340-3082 — (602) 406-8852

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 50862 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01058636A (IN)

Record details

NPI number1033190202
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 7, 2005
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing addressPo Box 33269, Phoenix, AZ 85067-3269

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Arizona Diagnostic Radiology Group Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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