Organization Active NPI

Becker Orthopedics

  • Medical Specialty Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1043583370
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
F11000003392 Issued in FL
Legal business name
BECKER ORTHOPEDICS
Practice address
3501 Health Center Blvd
Suite 2440
Bonita Springs, FL 34135-8127
Phone
(239) 949-3045
Fax
(239) 949-3015
NPI assigned
Feb 16, 2012
Organization subpart
Yes
Parent organization
MINNEAPOLIS ORTHOPAEDICS, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Dawn Wallick
Title
Clinic Manager
Phone
(239) 949-3045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X F11000003392 FL Primary

Addresses

Primary practice location

3501 Health Center Blvd
Suite 2440
Bonita Springs, FL 34135-8127

Mailing address

3501 Health Center Blvd
Suite 2440
Bonita Springs, FL 34135-8127
Phone (239) 949-3045

National Provider Directory

National Provider Directory
Part of
Metro Orthopedic Assoc

Locations

3501 Health Center Blvd
Ste 2440
Estero, FL 34135
Phone (239) 949-3045

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": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1043583370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD",
            "address_2": "SUITE 2440",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358127",
            "telephone_number": "239-949-3045",
            "fax_number": "239-949-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD",
            "address_2": "SUITE 2440",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358127",
            "telephone_number": "239-949-3045",
            "fax_number": "239-949-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKER ORTHOPEDICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINNEAPOLIS ORTHOPAEDICS, LTD",
        "enumeration_date": "2012-02-16",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "WALLICK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "239-949-3045"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "F11000003392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.