Organization Active NPI

Precision Medical BHRT Inc

  • Family Medicine Physician
  • West Palm BCH, FL
National Provider Identifier
1033965769
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRECISION MEDICAL BHRT INC
Practice address
1691 Forum PL Ste B164
West Palm BCH, FL 33401-2336
Phone
(561) 794-5068
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Mr. Carson Henderson, PA-CNPI 1801648621
Title
PA-C
Phone
(561) 794-5068

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1691 Forum PL Ste B164
West Palm BCH, FL 33401-2336

Mailing address

1691 Forum PL Ste B164
West Palm BCH, FL 33401-2336
Phone (561) 794-5068

Other names 1

  • Precision Medical Doing business as

National Provider Directory

National Provider Directory

Locations

1691 Forum Pl
Ste B164
West Palm Bch, FL 33401
Phone (561) 794-5068

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": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1033965769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 FORUM PL STE B164",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334012336",
            "telephone_number": "561-794-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 FORUM PL STE B164",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334012336",
            "telephone_number": "561-794-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION MEDICAL BHRT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CARSON",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "561-794-5068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm BCH, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.