# RAINBOW MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205941093
- **Authorized official:** MR. BERNARD GOODMAN M.H.A. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (623) 845-8200

## Contact information

- **Practice address:** 4700 N 51ST AVE STE 1, PHOENIX, AZ 85031-1237
- **Practice address phone:** (623) 845-8200
- **Practice address fax:** (623) 845-8210
- **Mailing address:** PO BOX 6524, GOODYEAR, AZ 85338-0626
- **Mailing address phone:** (623) 845-8200
- **Mailing address fax:** (623) 845-8210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | AZ | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 10/03/2007