NPIMap

Organization Active NPI

Preferred Orthopedics of the Palm Beaches P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Boynton Beach, FL
National Provider Identifier
1073522876
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
PREFERRED ORTHOPEDICS OF THE PALM BEACHES P.A.
Practice address
6056 Boynton Beach Blvd Ste 215
Boynton Beach, FL 33437-3500
Phone
(561) 533-7888
Fax
(561) 733-5851
NPI assigned
Aug 8, 2006
Organization subpart
Yes
Parent organization
PREFERRED ORTHOPEDICS OF THE PALM BEACHES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Gregory M Martin, MDNPI 1043257728
Title
Owner Operator
Phone
(561) 733-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

6056 Boynton Beach Blvd Ste 215
Boynton Beach, FL 33437-3500

Mailing address

6056 Boynton Beach Blvd Ste 215
Boynton Beach, FL 33437-3500
Phone (561) 733-5888

Other identifiers 2

IdentifierTypeStateIssuer
99924OtherFLBCBS
5907760001OtherFLMEDICARE DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070212000477 FL Part B Supplier - Clinic/Group Practice 0244232767 Receives reassigned benefits from 14 practitioners
Practice locations: Boynton Beach, FL
O20100930099391 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0244232767 Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory
Part of
Preferred Orthopedics of the Palm Beaches PA

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1073522876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 BOYNTON BEACH BLVD STE 215",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373500",
            "telephone_number": "561-733-5888",
            "fax_number": "561-733-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6056 BOYNTON BEACH BLVD STE 215",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373500",
            "telephone_number": "561-533-7888",
            "fax_number": "561-733-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED ORTHOPEDICS OF THE PALM BEACHES P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED ORTHOPEDICS OF THE PALM BEACHES INC",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "561-733-5888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99924",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "5907760001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.