Active NPI
John D Brinkman, M.D.
- Surgery Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME66544
- Practice address
- 1555 Kingsley Ave
Suite 503
Orange Park, FL 32073-9207 - Phone
- (904) 278-5088
- Fax
- (904) 264-4910
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17275 | NE | |
| Surgery Physician | 208600000X | ME66544 | FL | Primary |
Addresses
Primary practice location
1555 Kingsley Ave
Suite 503
Orange Park, FL 32073-9207
Mailing address
11945 San Jose Blvd
BLDG 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4506932 | Other | FL | AETNA |
| 47072366813 | Medicaid | NE | |
| 020029570 | Other | FL | RAILROAD MEDICARE |
| 25509 | Other | FL | BCBS FL |
| 275828800 | Medicaid | FL | |
| 9912625 | Other | FL | CIGNA |
| 239210 | Other | FL | AVMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Nebraska College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1747 Baptist Clay Dr
Suite 240
Fleming Island, FL 32003-8505
Phone (904) 214-8161
Hospital & facility affiliations
- Ascension St Vincent's Clay County
- Baptist Health Medical Center - Jacksonville
- HCA Florida Orange Park Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 22 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17275 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Surgery | Current | Accepting new patients |
| North Florida Surgeons, PA | Current | Accepting new patients |
Locations
1747 Baptist Clay Dr
Ste 240
Fleming Island, FL 32003
Phone (904) 214-8161
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
836 Prudential Dr
Ste 1001
Jacksonville, FL 32207
Phone (904) 398-0004
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
1658 St Vincents Way
Ste 210
Middleburg, FL 32068
Phone (904) 214-8161
1747 Baptist Clay Dr
Orange Park, FL 32003
Phone (904) 202-8550
1555 Kingsley Ave
Ste 503
Orange Park, FL 32073
Phone (904) 278-5088
Networks
- FL HMO
- FL PPO
- FL HMO D-SNP
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
Interoperability endpoints
- john.brinkman.1@9109.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
dba NFS Florida Bone and Joint
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Orange Park Hospital
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
dba Ascension St. Vincent's Clay County
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1003898982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD",
"address_2": "BLDG 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231627",
"telephone_number": "904-396-1725",
"fax_number": "904-399-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 KINGSLEY AVE",
"address_2": "SUITE 503",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320739207",
"telephone_number": "904-278-5088",
"fax_number": "904-264-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKMAN",
"first_name": "JOHN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NE",
"license": "17275",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME66544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4506932",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47072366813",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020029570",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "25509",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275828800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9912625",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "239210",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.