Baptist Medical Group LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BAPTIST MEDICAL GROUP LLC

Practice address

1040 Gulf Breeze Pkwy Ste 206
Gulf Breeze, FL 32561-7808

Phone

(850) 916-3700

NPI assigned

Aug 26, 2021

Last updated

Aug 26, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

BAPTIST HOSPITAL INCAs reported in NPPES

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

Authorized official

Name

Julie Cardwell

Title

President

Phone

(850) 469-2178

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• BMG Andrews Suite 206 Other name

Part of

Gulf Breeze Hospital M

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Baptist Health Care, Inc.

  dba Gulf Breeze Hospital

  • General Acute Care Hospital
  • Gulf Breeze, FL
  • NPI 1972664530

  Member Of

  NPD member

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1073280095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17567",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325227567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GULF BREEZE PKWY STE 206",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617808",
            "telephone_number": "850-916-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HOSPITAL INC",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "CARDWELL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-469-2178"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001661700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMG Andrews Suite 206",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Banyan Gulf Breeze LLC
• Banyan Gulf Breeze LLC
• Baptist Health Care, Inc
• Baptist Health Care, Inc. (Gulf Breeze Hospital)
• Baptist Hospital, Inc. (Baptist Home Health Care Medical Equipment and Supplies)
• Baptist Medical Group LLC
• Baptist Medical Group LLC
• Baptist Medical Group LLC
• Baptist Medical Group LLC
• Baptist Medical Group LLC

• Orthopaedic Surgery Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.