Boca Raton Physicians PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BOCA RATON PHYSICIANS PA

Practice address

1905 Clint Moore Rd Ste 201
Boca Raton, FL 33496-2660

Phone

(561) 994-5454

Fax

(561) 994-8873

NPI assigned

Aug 15, 2006

Last updated

Oct 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Keisha McDonnough

Title

Office Manager

Phone

(561) 994-5454

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: charles.gelfman@brp.direct.emedrec.us
• Direct secure messaging: glen.rubin@brp.direct.emedrec.us
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73774
• Direct secure messaging: mark.friedman@brp.direct.emedrec.us
• Direct secure messaging: seba.krumholtz@brp.direct.emedrec.us

Practitioners 5

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.

• Mark David Friedman, MD

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1235109521
  Medicare reassignment Care Compare group NPD
• Charles Larry Gelfman, MD

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1720010911
  Medicare reassignment Care Compare group NPD
• Seba Lee Krumholtz, MD

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1669442968
  Medicare reassignment Care Compare group NPD
• Craig Polinsky, MD

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1700824232
  Medicare reassignment Care Compare group NPD
• Glenn Lawrence Rubin, MD

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1326018615
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1093728214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962660",
            "telephone_number": "561-994-5454",
            "fax_number": "561-994-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962660",
            "telephone_number": "561-994-5454",
            "fax_number": "561-994-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "MCDONNOUGH",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-994-5454",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "97108",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG0687",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boca Raton Outpatient Surgery and Laser Center
• Boca Raton Pediatric Associates PA
• Boca Raton Pediatric Physical Therapy
• Boca Raton Perinatal Associates, LLC
• Boca Raton Pharmacy, Inc (Specialty Care Pharmacy)
• Boca Raton Podiatry and Sports Medicine Institute
• Boca Raton Podiatry, PA
• Boca Raton Psychiatric Group, PA
• Boca Raton Psychiatry, LLC
• Boca Raton Psychology Group PA

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.