Individual provider Active NPI

Pelbreton Collymore Balfour Jr., MD

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1063633576
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME131374 Issued in FL
Practice address
4720 Salisbury Rd
Jacksonville, FL 32256-6101
Phone
(855) 212-2273
NPI assigned
May 1, 2007
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME131374 FL Primary

Addresses

Primary practice location

4720 Salisbury Rd
Jacksonville, FL 32256-6101

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Phone (855) 212-2273

Other practice location 1

3844 Bee Ridge Rd
Sarasota, FL 34233-1163
Phone (941) 315-6182

Other identifiers 4

IdentifierTypeStateIssuer
020721600MedicaidFL
209108MedicaidAL
ME131374OtherFLFLORIDA MEDICAL LICENSE
MD.36331OtherALALABAMA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AL, GA, AZ, WA, ND, SD, LA, IA, TX, MS, PA, NJ, KY14 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
I20150323001680 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8325183528 Reassigns benefits to 2 organizations
I20180712000878 AL Practitioner - Cardiovascular Disease (Cardiology) 8325183528 Reassigns benefits to 1 organization
I20250908001073 GA Practitioner - Cardiovascular Disease (Cardiology) 8325183528 Reassigns benefits to 2 organizations
I20260218001374 AZ Practitioner - Cardiovascular Disease (Cardiology) 8325183528 Reassigns benefits to 1 organization
I20260222000177 WA Practitioner - Cardiovascular Disease (Cardiology) 8325183528 Reassigns benefits to 1 organization
I20260326002176 ND Practitioner - Cardiovascular Disease (Cardiology) 8325183528 Reassigns benefits to 1 organization
I20260501001949 SD Practitioner - Cardiovascular Disease (Cardiology) 8325183528 Reassigns benefits to 1 organization
I20260506001622 LA Practitioner - Cardiovascular Disease (Cardiology) 8325183528 Reassigns benefits to 1 organization
I20260616002106 IA Practitioner - Cardiovascular Disease (Cardiology) 8325183528
I20260617004559 TX Practitioner - Cardiovascular Disease (Cardiology) 8325183528 Reassigns benefits to 1 organization
I20260617004603 MS Practitioner - Cardiovascular Disease (Cardiology) 8325183528 Reassigns benefits to 1 organization
I20260617004689 PA Practitioner - Cardiovascular Disease (Cardiology) 8325183528
I20260617004720 NJ Practitioner - Cardiovascular Disease (Cardiology) 8325183528
I20260625002123 KY Practitioner - Cardiovascular Disease (Cardiology) 8325183528

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Pittsburgh School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

110 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-3300

111 Medical Pkwy
FL 2
Chesapeake, VA 23320-0302
Phone (757) 312-4047

120 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159

122 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159

132 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 931-1159

1401 10TH Ave W
Mobridge, SD 57601-1106
Phone (303) 390-1940

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

163 S Tallahassee St
Hazlehurst, GA 31539-6465
Phone (303) 390-1924

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

425 W 3Rd Ave
Suite 600
Albany, GA 31701-1961
Phone (229) 431-1022

510 8TH Ave NE
Hazen, ND 58545-4637
Phone (701) 748-2225

520 Rose LN
Wickenburg, AZ 85390-1447
Phone (928) 684-5421

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79805AZMDCardiovascular Disease Physician
80305SDMDCardiovascular Disease Physician
MC70093990WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Jul 1, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Aug 8, 2025 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Jul 1, 2025 Accepting new patients
Rural Physicians Group-Pannu PLLC Cardiovascular Disease CurrentSince Feb 2, 2026 Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients

Locations

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

510 8th Ave NE
Hazen, ND 58545
Phone (701) 748-2225

1401 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692

111 Medical Pkwy
Fl 2
Chesapeake, VA 23320
Phone (757) 312-4047

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 865-1520

Interoperability endpoints

  • Direct secure messaging: pelbreton.balfour.1@5072.direct.athenahealth.com
  • Direct secure messaging: pelbreton.balfour.1@8478.direct.athenahealth.com
  • Direct secure messaging: pelbreton.balfour@387891020693508.direct.elationemr.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1063633576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278087",
            "telephone_number": "855-212-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 SALISBURY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566101",
            "telephone_number": "855-212-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3844 Bee Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342331163",
            "country_code": "US",
            "telephone_number": "941-315-6182",
            "fax_number": "941-487-6233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALFOUR",
        "first_name": "PELBRETON",
        "middle_name": "COLLYMORE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME131374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020721600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209108",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME131374",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA MEDICAL LICENSE",
            "identifier": "MD.36331",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.