Active NPI
Jeffrey Mark Bishop, D.O.
- Family Medicine Physician
- West Palm Beach, FL
National Provider Identifier
1235192659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS5102
- Practice address
- 750 S Military TRL Ste D&E
West Palm Beach, FL 33415-3963 - Phone
- (561) 560-2603
- Fax
- (561) 560-2604
- NPI assigned
- Apr 7, 2006
- Last updated
- Sep 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40316 | GA | |
| Family Medicine Physician | 207Q00000X | OS0005102 | FL | |
| Family Medicine Physician | 207Q00000X | OS5102 | FL | Primary |
Addresses
Primary practice location
750 S Military TRL Ste D&E
West Palm Beach, FL 33415-3963
Mailing address
3172 SE Fairway W
Stuart, FL 34997-6045
Phone (561) 718-5848
Other practice location 1
6770 Taft St
Hollywood, FL 33024-3903
Phone (954) 573-5783
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003534 | Other | NHP | |
| 102250 | Other | UNITED HEALTH CARE | |
| 044080900 | Medicaid | FL | |
| 1685824 | Other | CIGNA | |
| 208915 | Other | AVMED | |
| 4201051 | Other | AETNA | |
| 28745 | Other | HEALTH EASE | |
| D60746 | Other | VISTA |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 14, 2024 through Nov 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0005102 | FL | MD | Family Medicine Physician |
| OS5102 | FL | MD | Family Medicine Physician |
| 40316 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remedy Therapy, LLC | Past | Accepting new patients | |
| Western Communities Family Practice Assoc Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Abuse Rehabilitation Facility
- Stuart, FL
- NPI 1013476431
-
- Family Medicine Physician
- Wellington, FL
- NPI 1043271596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1235192659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3172 SE FAIRWAY W",
"city": "STUART",
"state": "FL",
"postal_code": "349976045",
"telephone_number": "561-718-5848",
"fax_number": "561-791-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 S MILITARY TRL STE D&E",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334153963",
"telephone_number": "561-560-2603",
"fax_number": "561-560-2604"
}
],
"practiceLocations": [
{
"address_1": "6770 Taft St",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330243903",
"country_code": "US",
"telephone_number": "954-573-5783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISHOP",
"first_name": "JEFFREY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "40316",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0005102",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS5102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "003534",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "102250",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044080900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1685824",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "208915",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4201051",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH EASE",
"identifier": "28745",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA",
"identifier": "D60746",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.