Find a Doctor Information Changes

Find a Doctor Information Changes

Thank you for the work you do and the excellent patient care you provide. We want to ensure that your information is up to date. Please note that processing times will vary according to the changes requested. Please view the instructions for changes listed below. 

BMG Providers

Change Forms

NOTE: You must be logged in at a Banner Health location or through VPN to access these forms.

  • Add/Remove Location(s)
  • Add/Remove TIN(s)
  • Phone/Fax Update for provider/clinic
  • Provider Resignation/Termination
  • Other
  • Interests and activities (25 words or less)
  • My approach to care / care philosophy (100 words or less)
  • Video and link (Banner managed YouTube channel)
  • Photo and link (image guidelines – size?)
  • Research link (PubMed)

NOTE: Videos and photos are loaded via the approved Banner Health process. Any questions should be directed to your practice manager.  

BUMG Phoenix Providers

Change Forms

NOTE: You must be logged in at a Banner Health location or through VPN to access these forms.

  • Add/Remove Location(s)
  • Add/Remove TIN(s)
  • Phone/Fax Update for provider/clinic
  • Provider Resignation/Termination
  • Other
  • Interests and activities (25 words or less)
  • My approach to care / care philosophy (100 words or less)
  • Video and link (Banner managed YouTube channel)
  • Photo and link (image guidelines – size?)
  • Research link (PubMed)

NOTE: Videos and photos are loaded via the approved Banner Health process. Any questions should be directed to your practice manager. 

BUMG Tucson Providers

Please use one of the following tools to submit your request:

BHN Providers

Please call us at (480) 684-7070 (Option 6) or email us to update or change your information.

Banner Research Providers

Change Forms

NOTE: You must be logged in at a Banner Health location or through VPN to access these forms.

  • Add/Remove Location(s)
  • Add/Remove TIN(s)
  • Phone/Fax Update for provider/clinic
  • Provider Resignation/Termination
  • Other
  • Interests and activities (25 words or less)
  • My approach to care / care philosophy (100 words or less)
  • Video and link (Banner managed YouTube channel)
  • Photo and link (image guidelines – size?)
  • Research link (PubMed)

NOTE: Videos and photos are loaded via the approved Banner Health process. Any questions should be directed to your practice manager.