Organization Active NPI

GBMT PLLC

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1013463330
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME114388 Issued in FL
Legal business name
GBMT PLLC
Practice address
875 Meadows Rd
Suite 311
Boca Raton, FL 33486-2349
Phone
(205) 787-8676
Fax
(205) 785-7944
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Dr. Resit Cem Cezayirli, M.DNPI 1518905116
Title
President
Phone
(205) 787-8676

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME114388 FL Primary

Addresses

Primary practice location

875 Meadows Rd
Suite 311
Boca Raton, FL 33486-2349

Mailing address

875 Meadows Road
Suite 311
Boca Raton, FL 33486
Phone (205) 787-8676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161213001655 FL Part B Supplier - Clinic/Group Practice 4789964537 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1013463330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MEADOWS ROAD",
            "address_2": "SUITE 311",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "205-787-8676",
            "fax_number": "205-785-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MEADOWS RD",
            "address_2": "SUITE 311",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862349",
            "telephone_number": "205-787-8676",
            "fax_number": "205-785-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBMT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "CEZAYIRLI",
        "authorized_official_first_name": "RESIT",
        "authorized_official_middle_name": "CEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-787-8676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME114388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.