Organization Active NPI

Boca Trauma and Rehab

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Boca Raton, FL
National Provider Identifier
1194059824
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
BOCA TRAUMA AND REHAB
Practice address
851 Meadows Rd
Suite 213
Boca Raton, FL 33486-2348
Phone
(561) 392-1333
Fax
(561) 392-9707
NPI assigned
Sep 29, 2009
Last updated
Sep 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Dr. Bruce Michael Fischer, DCNPI 1356350367
Title
Director
Phone
(561) 392-1333

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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

851 Meadows Rd
Suite 213
Boca Raton, FL 33486-2348

Mailing address

851 Meadows Rd
Suite 213
Boca Raton, FL 33486-2348
Phone (561) 392-1333

National Provider Directory

National Provider Directory
Tax ID family
Boca Trauma and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1194059824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MEADOWS RD",
            "address_2": "SUITE 213",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862348",
            "telephone_number": "561-392-1333",
            "fax_number": "561-392-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MEADOWS RD",
            "address_2": "SUITE 213",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862348",
            "telephone_number": "561-392-1333",
            "fax_number": "561-392-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA TRAUMA AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-392-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.