Organization Active NPI

Boca Raton Spine & Joint LLC

  • Orthopaedic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1255822490
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BOCA RATON SPINE & JOINT LLC
Practice address
5458 Town Center Rd Ste 104
Boca Raton, FL 33486-1026
Phone
(561) 961-5695
Fax
(561) 961-5899
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
William F Vanderbrook, DC
Title
Owner
Phone
(561) 859-4275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

5458 Town Center Rd Ste 104
Boca Raton, FL 33486-1026

Mailing address

1730 S Federal Hwy Ste 202
Delray Beach, FL 33483-3309
Phone (561) 859-4275

National Provider Directory

National Provider Directory

Locations

1730 S Federal Hwy
Ste 202
Delray Beach, FL 33483

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1255822490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S FEDERAL HWY STE 202",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833309",
            "telephone_number": "561-859-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD STE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861026",
            "telephone_number": "561-961-5695",
            "fax_number": "561-961-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA RATON SPINE & JOINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "VANDERBROOK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-859-4275",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.