Individual provider Active NPI

Jeffrey Mark Bishop, D.O.

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1235192659
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5102 Issued in FL
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003534OtherNHP
102250OtherUNITED HEALTH CARE
044080900MedicaidFL
1685824OtherCIGNA
208915OtherAVMED
4201051OtherAETNA
28745OtherHEALTH EASE
D60746OtherVISTA

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
OS0005102FLMDFamily Medicine Physician
OS5102FLMDFamily Medicine Physician
40316GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Therapy, LLC Past Accepting new patients
Western Communities Family Practice Assoc Inc Family Medicine PastSince Oct 1, 1991 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.

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

Verify at the official NPI Registry.