Organization Active NPI

John Bancroft Hylton M.D,P.a

  • Internal Medicine Physician
  • Cooper City, FL
National Provider Identifier
1225378516
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOHN BANCROFT HYLTON M.D,P.A
Practice address
12323 SW 55TH St
Suite 1003
Cooper City, FL 33330-3312
Phone
(954) 252-0083
Fax
(954) 252-0207
NPI assigned
Feb 22, 2013
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dr. John Bancroft Hylton, M.D.NPI 1316951700
Title
President
Phone
(954) 252-0083

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X ME0060538 FL

Addresses

Primary practice location

12323 SW 55TH St
Suite 1003
Cooper City, FL 33330-3312

Mailing address

12323 SW 55TH St
Suite 1003
Cooper City, FL 33330-3312
Phone (954) 252-0083

Other identifiers 1

IdentifierTypeStateIssuer
374309800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130530000542 FL Part B Supplier - Clinic/Group Practice 4284872326 Receives reassigned benefits from 1 practitioner
Practice locations: Cooper City, FL

National Provider Directory

National Provider Directory

Locations

12323 SW 55th St
Ste 1003
Cooper City, FL 33330
Phone (954) 252-0083

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": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1225378516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12323 SW 55TH ST",
            "address_2": "SUITE 1003",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303312",
            "telephone_number": "954-252-0083",
            "fax_number": "954-252-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12323 SW 55TH ST",
            "address_2": "SUITE 1003",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303312",
            "telephone_number": "954-252-0083",
            "fax_number": "954-252-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BANCROFT HYLTON M.D,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "HYLTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BANCROFT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-252-0083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0060538",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374309800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.