Active NPI
Becker Orthopedics
- Medical Specialty Clinic/Center
- Bonita Springs, FL
National Provider Identifier
1043583370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- F11000003392
- 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, LTD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Orthopaedic Surgery Physician
- Minneapolis, MN
- NPI 1437172236
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.