NPIMap

Organization Active NPI

Medical Technology Transfer Corporation

  • Primary Care Clinic/Center
  • Palm Bay, FL
National Provider Identifier
1295044824
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDICAL TECHNOLOGY TRANSFER CORPORATION
Practice address
590 Malabar Road, Suite 6
Palm Bay, FL 32907
Phone
(321) 676-3535
Fax
(321) 676-3575
NPI assigned
Sep 30, 2010
Organization subpart
Yes
Parent organization
MEDICAL TECHNOLOGY TRANSFER CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Frank Bright
Title
Vice President
Phone
(321) 726-1604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X FL Primary

Addresses

Primary practice location

590 Malabar Road, Suite 6
Palm Bay, FL 32907

Mailing address

590 Malabar Road, Suite 6
Palm Bay, FL 32907
Phone (321) 676-3535

Other names 1

  • 4CARE Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000360 FL Part B Supplier - Clinic/Group Practice 1658265079 Receives reassigned benefits from 81 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Myers, FL; Melbourne, FL; Parrish, FL; West Palm Beach, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Medical Technology Transfer

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1295044824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MALABAR ROAD, SUITE 6",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "321-676-3535",
            "fax_number": "321-676-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MALABAR ROAD, SUITE 6",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "321-676-3535",
            "fax_number": "321-676-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TECHNOLOGY TRANSFER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL TECHNOLOGY TRANSFER CORPORATION",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "321-726-1604"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4CARE Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.