Active NPI
Forsythe Medical Group
- Family Medicine Physician
- Palm Bay, FL
National Provider Identifier
1073426508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FORSYTHE MEDICAL GROUP
- Practice address
- 1425 Malabar Rd NE
Palm Bay, FL 32907-2506 - Phone
- (321) 490-4960
- Fax
- (321) 616-8222
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David John Forsythe, MD
- Title
- Owner
- Phone
- (321) 490-4960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Mailing address
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 490-4960
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Pembroke Pines, FL
- NPI 1578629325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1073426508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 MALABAR RD NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329072506",
"telephone_number": "321-490-4960",
"fax_number": "321-616-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 MALABAR RD NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329072506",
"telephone_number": "321-490-4960",
"fax_number": "321-616-8222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORSYTHE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "FORSYTHE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-490-4960",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.