Bdmc Med Pro Fees

Bdmc Med Pro Fees is a healthcare organization registered as Health Service Clinic/Center in Mesa, AZ, holding Type 2 (organization) NPI 1104861392 since 2006. The authorized official on file is Dennis Dahlen, Sr Vice President Finance.

✓ Active NPI ✓ Valid NPI checksum Organization subpart

NPI	1104861392
Entity type	Organization (Type 2)
Legal business name	Bdmc Med Pro Fees
Parent organization	Banner Health
Practice address	1400 S DOBSON RD, Mesa, AZ, 85202
Phone	4808353000
Enumeration date	2006-06-19
Last updated in NPPES	2007-10-15

Authorized official

Name	Dennis Dahlen
Title	Sr Vice President Finance
Phone	6027474000

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QH0100X	Health Service Clinic/Center	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
938201	Medicaid	AZ	—

Copy-ready billing details

Provider: Bdmc Med Pro Fees
NPI: 1104861392
Taxonomy: 261QH0100X (Health Service Clinic/Center)
Address: 1400 S DOBSON RD, Mesa, AZ, 85202

Providers at this address

NPI	Name	Type	Specialty	Location
1932102977	Nabin Sharma	Individual	Internal Medicine Physician	Mesa, AZ
1003808668	Emmanuel Bayongan	Individual	Critical Care Medicine (Internal Medicine) Physician	Mesa, AZ
1033103601	Mark Murphy	Individual	Anesthesiology Physician	Mesa, AZ
1780678359	Willie Quon	Individual	Anesthesiology Physician	Mesa, AZ
1063496552	Robert Thomas	Individual	Anesthesiology Physician	Mesa, AZ
1508841560	Donald Maxwell	Individual	Critical Care Medicine (Internal Medicine) Physician	Mesa, AZ
1316922370	Tanya Kne	Individual	Emergency Medicine Physician	Mesa, AZ
1306821368	Mark Ripperda	Individual	Emergency Medicine Physician	Mesa, AZ

Verify this record

Cross-check NPI 1104861392 against the authoritative CMS record: view Bdmc Med Pro Fees on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Bdmc Med Pro Fees located?

The practice location on file with NPPES is in Mesa, AZ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-15. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-10-15.