Organization Active NPI

Progress Medical Center

  • Adult Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1285366427
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
PROGRESS MEDICAL CENTER
Practice address
1800 N Federal Hwy Ste 207
Pompano Beach, FL 33062-1021
Phone
(954) 606-5050
NPI assigned
Jun 27, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Willy Clerisier, NPNPI 1518478650
Title
Owner
Phone
(954) 606-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

1800 N Federal Hwy Ste 207
Pompano Beach, FL 33062-1021

Mailing address

1800 N Federal Hwy Ste 207
Pompano Beach, FL 33062-1021
Phone (954) 606-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220831000363 FL Part B Supplier - Clinic/Group Practice 4981088556 Receives reassigned benefits from 3 practitioners
Practice locations: Pompano Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2268596Progress Medical Center LLC1800 N Federal Hwy Suite 207, Pompano Beach, FL 33062Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

Locations

1800 N Federal Hwy
Ste 207
Pompano Beach, FL 33062
Phone (954) 298-8048

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1285366427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY STE 207",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621021",
            "telephone_number": "954-606-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY STE 207",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621021",
            "telephone_number": "954-606-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "CLERISIER",
        "authorized_official_first_name": "WILLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-606-5050",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.

Verify at the official NPI Registry.