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Banner Gateway Medical Center  

Physician Credentialing

physician  

Thank you for your interest in applying to the Medical Staff at Banner Gateway Medical Center. Our goal is to provide physicians with an ideal environment to practice medicine that is efficient, effective, safe and healing.

Applications for medical staff membership and privileges at Banner Gateway Medical Center, along with supplementary forms and documents, are available online at the links below.

The Application Process

The first step in applying for privileges is to submit the online initial application request form. Once this application is received by the Banner Health Credentialing Verification Organization, you will receive a more detailed application to complete.

After submitting the initial application request form, please complete, sign and return the following documents to the Banner Gateway Medical Staff Office, 1900 N. Higley Road., Gilbert, AZ., 85234.

  1. Copy of Driver's License or Photo Identification
  2. Departmental Rules and Regulations/Delineation of Privilege Form (PDF)
  3. Application Invoice (PDF)
  4. Clinical Competence Peer Reference Form (PDF)
  5. Release of Information (PDF)

Minimum Qualifications
The Medical Staff Bylaws describe minimum qualifications for membership. If upon review of your initial application, it is determined you do not meet the minimum qualifications for membership and privileges, your application will not be processed.

In Pediatrics, applications are currently open for general pediatricians but are not yet available for pediatric sub specialists. More information will be available soon.

Please note:  Banner Gateway Medical Center requires board certification be obtained within five years of completion of training or sooner as required by the department, or within three years of expiration of original Board certification or recertification.

BGMC Bylaws

Banner Gateway Medical Center
Higley Road and US 60
1900 North Higley Road
Gilbert, Arizona 85234
(480) 543-2000
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