Clinical Partners Inc

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

CLINICAL PARTNERS INC

Practice address

350 Crossgates Blvd
Brandon, MS 39042-2601

Phone

(954) 545-0337

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Paul Gerdes

Title

President

Phone

(954) 545-0337

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1043221146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 E MCNAB RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330609238",
            "telephone_number": "954-545-0337",
            "fax_number": "954-545-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CROSSGATES BLVD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422601",
            "telephone_number": "954-545-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "GERDES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-545-0337"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015727",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CH9611",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward R Clarke
• Angela L Clay, OTR
• Beverly Clay
• Clayton Home Health
• Camryn Clerk
• Lesley Cobb, CCC-SLP
• Brittany Coleman, OT
• Austin W Coley, DPT
• Aysia Nicole Collier, LCSW
• Collins Home Care LLC

• Registered Nurse in Brandon, MS
• Providers in Brandon, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.