NPIMap

Organization Active NPI

Integrative Health Care and Physical Medicine Ocala LLC

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1013261700
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME110042 Issued in FL
Legal business name
INTEGRATIVE HEALTH CARE AND PHYSICAL MEDICINE OCALA LLC
Practice address
3256 S Pine Ave Ste 301
Ocala, FL 34471-6607
Phone
(352) 369-6325
Fax
(352) 369-6329
NPI assigned
Nov 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Dr. Preston Kyle Bare, D.C.NPI 1295831451
Title
Owner/ Doctor
Phone
(352) 369-6325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME110042 FL Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

3256 S Pine Ave Ste 301
Ocala, FL 34471-6607

Mailing address

3256 S Pine Ave Ste 301
Ocala, FL 34471-6607
Phone (352) 369-6325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130816000563 FL Part B Supplier - Clinic/Group Practice 9830331057 Receives reassigned benefits from 10 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

3256 S Pine Ave
Ste 301
Ocala, FL 34471
Phone (352) 369-6325

3771 S Pine Ave
Ocala, FL 34471

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1013261700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 S PINE AVE STE 301",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716607",
            "telephone_number": "352-369-6325",
            "fax_number": "352-369-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3256 S PINE AVE STE 301",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716607",
            "telephone_number": "352-369-6325",
            "fax_number": "352-369-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH CARE AND PHYSICAL MEDICINE OCALA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "BARE",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "352-369-6325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME110042",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.