Michael P Conrad, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0055242 Issued in FL

Practice address

1221 E Desoto St
Pensacola, FL 32501-3337

Phone

(850) 437-9997

Fax

(850) 439-2122

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Psychiatry

Education

Virginia Commonwealth University, School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Michael P Conrad MD PA

  • Psychiatry Physician
  • Pensacola, FL
  • NPI 1346417029
  Medicare reassignment NPD Authorized official
• Gulf Breeze Psychiatric Services

  • Psychiatry Physician
  • Pensacola, FL
  • NPI 1487846259
  NPD (past) Authorized official
• West Florida Medical Center Clinic, PA

  • Multi-Specialty Clinic/Center
  • Pensacola, FL
  • NPI 1568452688
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124063474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 E DESOTO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013337",
            "telephone_number": "850-437-9997",
            "fax_number": "850-439-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E DESOTO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013337",
            "telephone_number": "850-437-9997",
            "fax_number": "850-439-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0055242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Congleton, O.D.
• Jeanette L Connell, DNP, ACNP-BC, FNP-C
• Austin Paul Conner Sr., R.PH
• Kayla Connick, MT-BC
• Megan Leeanne Conrad
• Michelle Rae Conrad, PTA, LMT
• Kim Marie Conradson, PHD, LMHC
• Consano Health Inc
• Robert Louis Constantine Jr., OTR/L
• Contact Lens & Eye Care of Pensacola Inc

• Psychiatry Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.