Bradley Boman, DO
Dermatology · Glendale, AZ
At a glance
11851 N 51St Ave Ste E130, Glendale, AZ 85304-2843
NPPES record updated Aug 26, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
11851 N 51St Ave Ste E130Glendale, AZ 85304-2843
Additional reported practice locations
4801 E Mcdowell Rd Ste 150Phoenix, AZ 850087719
Phone: 6029543919 10204 W Happy Valley Pkwy Ste 165
Peoria, AZ 853832880
Phone: 6233236777 9305 W Thomas Rd Ste 305
Phoenix, AZ 850373366
Phone: 6234788000 4515 S Mcclintock Dr
Tempe, AZ 852827376
Phone: 6025595470
Education & affiliations
No matching clinician background record in the imported CMS release.
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Dermatology
- Taxonomy code
- 207N00000X
- Enumeration date
- Mar 21, 2025
- Record updated
- Aug 26, 2026
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- DO
Reported taxonomies and licenses
207N00000X · Primary
License reported: 012621 AZ
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
11851 N 51St Ave Ste E130Glendale, AZ 85304-2843
- Phone
- (623) 299-9540
Mailing address
11851 N 51ST AVE STE E130GLENDALE, AZ 853042843
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue