Active NPI
Columbia Primary Care LLC
- Internal Medicine Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- COLUMBIA PRIMARY CARE LLC
- Practice address
- 4631 N Congress Ave
Suite 202
West Palm Beach, FL 33407-3209 - Phone
- (561) 881-2640
- Fax
- (561) 863-2304
- NPI assigned
- Feb 22, 2007
- Last updated
- Sep 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Duncan
- Title
- VP
- Phone
- (561) 881-2640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4631 N Congress Ave
Suite 202
West Palm Beach, FL 33407-3209
Mailing address
4631 N Congress Ave
Suite 202
West Palm Beach, FL 33407-3209
Phone (561) 881-2640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF4508 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1050247 | Columbia Primary Care LLC Dba | Certificate of waiver | Jan 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
1001 Wynmoor Cir
Ste 102
Coconut Creek, FL 33066
1310 Avenue of the Stars
Coconut Creek, FL 33066
Phone (954) 571-6997
9800 W Sample Rd
Ste B
Coral Springs, FL 33065
Phone (954) 341-3739
2825 N State Road 7
Ste 304
Margate, FL 33063
Phone (954) 977-4101
2960 N State Road 7
Ste 204
Margate, FL 33063
Phone (954) 972-7224
2964 N State Road 7
Margate, FL 33063
5901 Colonial Dr
Margate, FL 33063
Phone (954) 755-2121
5901 Colonial Dr
Ste 110
Margate, FL 33063
Phone (954) 977-8442
21097 NE 27th Ct
Ste 100
Miami, FL 33180
Phone (305) 792-0012
8251 W Broward Blvd
Plantation, FL 33324
Phone (954) 473-5600
8251 W Broward Blvd
Ste 304
Plantation, FL 33324
Phone (954) 731-1101
4201 N University Dr
Sunrise, FL 33351
Phone (954) 977-4101
4631 N Congress Ave
Ste 200
West Palm Beach, FL 33407
Phone (561) 845-0175
4631 N Congress Ave
Ste 202
West Palm Beach, FL 33407
Phone (561) 530-1725
4700 N Congress Ave
Ste 201
West Palm Beach, FL 33407
Phone (561) 881-2640
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 34
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.
-
- Interventional Cardiology Physician
- Fort Lauderdale, FL
- NPI 1770002958
Internal Medicine
-
- Cardiovascular Disease Physician
- Plantation, FL
- NPI 1942254164
Internal Medicine
-
- Interventional Cardiology Physician
- Plantation, FL
- NPI 1215012844
-
- Cardiovascular Disease Physician
- Margate, FL
- NPI 1174932495
-
- Interventional Cardiology Physician
- Plantation, FL
- NPI 1982964870
Internal Medicine
-
- Internal Medicine Physician
- West Palm Beach, FL
- NPI 1790769735
-
- Interventional Cardiology Physician
- Plantation, FL
- NPI 1790860310
-
- Interventional Cardiology Physician
- Plantation, FL
- NPI 1730103961
-
- Nurse Practitioner
- Weston, FL
- NPI 1477386779
-
- Internal Medicine Physician
- Atlantis, FL
- NPI 1902293475
-
- Interventional Cardiology Physician
- Margate, FL
- NPI 1851385686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190851200000",
"number": "1265567994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 N CONGRESS AVE",
"address_2": "SUITE 202",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073209",
"telephone_number": "561-881-2640",
"fax_number": "561-863-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4631 N CONGRESS AVE",
"address_2": "SUITE 202",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073209",
"telephone_number": "561-881-2640",
"fax_number": "561-863-2304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2007-09-27",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "561-881-2640"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF4508",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Colorful Worlds ABA Center LLC
- Columbia Home Health Care Inc
- Columbia Hospital Palm Beaches Limited Partnership (West Palm Hospital)
- Columbia Hospital Palm Beaches Limited Partnership (West Palm Hospital)
- Columbia Hospital Palm Beaches Limited Partnership (Columbia Hospital)
- Yan Carlos Columbie
- Comfort Management Care
- Comfortable Care Denta Health Professionals, PA (Advanced Dentistry of West Palm Beach)
- Comfortable Care Dental Health Professionals, P.a. (West Lakes Dental Care)
- Comfortable Care Dental Health Professionals, P.a. (Dental Care at Ibis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.