Jeffrey Andrew Gulick, D.O.
Individual provider Active NPI Hospitalist Physician · Melbourne, FL
NPI 1235313149 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1235313149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- OS20379 (FL)
- Practice address
- 8745 N Wickham Rd
Melbourne, FL 32940-5997 - Phone
- (321) 434-3474
- NPI assigned
- Dec 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 31
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brevard Health Alliance Inc
Practice addresses (Care Compare)
7227 N US Hwy 1
Cocoa, FL 32927-5020
Phone (321) 241-6800
Hospital & facility affiliations
- Parrish Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MI, GA, SC, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090805000713 | MI | Practitioner - Internal Medicine | 2668525858 | Reassigns benefits to 2 organizations |
| I20211011001183 | GA | Practitioner - Internal Medicine |
2668525858 | Reassigns benefits to 2 organizations |
| I20220728002090 | SC | Practitioner - Internal Medicine | 2668525858 | Reassigns benefits to 3 organizations |
| I20240108000403 | FL | Practitioner - Internal Medicine |
2668525858 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2673 | AL | MD | Chiropractor |
| TP327 | KY | MD | Family Medicine Physician |
| 87568 | SC | MD | Urology Physician |
| OS20379 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Ionia Hospital | Current |
Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current |
Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Hospitalist | Current |
Accepting new patients |
| Sparrow Eaton Hospital | Current |
Accepting new patients | |
| Brevard Health Alliance Inc | Current | Accepting new patients | |
| Brevard Health Alliance Inc | Current |
Accepting new patients | |
| Sparrow Eaton Hospital | Hospitalist | Current |
Accepting new patients |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Brevard Health Alliance, Inc. | Current |
Accepting new patients | |
| Southeastern Hospitalist Services PC | Internal Medicine | Current |
Accepting new patients |
| Sparrow Ionia Hospital | Internal Medicine | Current |
Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current |
Accepting new patients |
| Sparrow Eaton Hospital | Current | Accepting new patients | |
| Brevard Health Alliance Inc | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
2120 Sarno Rd
Melbourne, FL 32935
Phone (321) 952-9696
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
7227 N US Highway 1
Port St John, FL 32927
Phone (321) 631-3693
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
8175 Reliable Pkwy
Chicago, IL 60686
111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855
321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101016416 | MI | |
| Internal Medicine Physician | 207R00000X | OS20379 | FL | |
| Hospitalist Physician | 208M00000X | OS20379 | FL | Yes |
Addresses
Primary practice location
8745 N Wickham Rd
Melbourne, FL 32940-5997
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-3474
Other practice location 1
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-3157
Other practice location 2
7227 N US Highway 1
Cocoa, FL 32927-5020
Phone (321) 241-6800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SB817 | Other | FL | MEDICARE HF |
| 120820400 | Medicaid | FL |
Other providers in Melbourne, FL
- Jose Antonio Guerra
- Joseph Antonio Guerra
- Jorge Guerrero
- Hany Heshmat Guirgis
- Darlyne Guldi-Mula
- Kristin Marie Gulliver
- Joseph A Gurri
- Lisa G Gurri
- Heather Gustafson
- Amanda Gutierrez Alvarez
All providers in Melbourne, FL · Hospitalist Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.