Individual provider Active NPI

Gerard Joseph Budd, M.D.

  • Emergency Medicine Physician
  • Ponte Vedra Beach, FL
National Provider Identifier
1194909531
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME0044413 Issued in FL
Practice address
880 A1A N Ste 16
Ponte Vedra Beach, FL 32082-3228
Phone
(904) 280-1300
Fax
(904) 280-1220
NPI assigned
Dec 20, 2007
Last updated
Dec 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME0044413 FL Primary

Addresses

Primary practice location

880 A1A N Ste 16
Ponte Vedra Beach, FL 32082-3228

Mailing address

880 A1A N Ste 16
Ponte Vedra Beach, FL 32082-3228
Phone (904) 280-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

880 A1A
Suite 16
Ponte Vedra Beach, FL 32082-3218

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0044413FLMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1194909531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 A1A N STE 16",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823228",
            "telephone_number": "904-280-1300",
            "fax_number": "904-280-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 A1A N STE 16",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823228",
            "telephone_number": "904-280-1300",
            "fax_number": "904-280-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDD",
        "first_name": "GERARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0044413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.