Ridge Manor Family Medicine,LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS6302 Issued in FL

Legal business name

RIDGE MANOR FAMILY MEDICINE,LLC

Practice address

31158 Cortez Blvd
Brooksville, FL 34602-7552

Phone

(352) 796-5303

Fax

(352) 796-5304

NPI assigned

Aug 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark D Bowden, D.O.NPI 1669580668

Title

Physician/Owner

Phone

(352) 796-5303

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9062/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Bowden, D.O.

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1669580668
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013025022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31158 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346027552",
            "telephone_number": "352-796-5303",
            "fax_number": "352-796-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31158 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346027552",
            "telephone_number": "352-796-5303",
            "fax_number": "352-796-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE MANOR FAMILY MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "352-796-5303",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Rice
• Mackenzie Rose Rich, APRN
• Richard W Springstead MD PA
• Dory Richards, LMFT
• Ridge Manor Family Clinic Inc
• Leigh A Rignola, RBT
• Seth Brent Riker
• Anali J Rincon, MD
• Jenna Risher
• Sarah Beth Risner, PHD

• Family Medicine Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.