NPIMap

Organization Active NPI

Raulerson GYN LLC

  • Obstetrics Physician
  • Okeechobee, FL
National Provider Identifier
1356528210
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
RAULERSON GYN LLC
Practice address
1713 Highway 441 North
Suite F
Okeechobee, FL 34972
Phone
(863) 763-8000
Fax
(863) 763-8212
NPI assigned
Jan 23, 2008
Last updated
May 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Dr. James BradfieldNPI 1427076835
Title
Authorize Official
Phone
(863) 763-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

1713 Highway 441 North
Suite F
Okeechobee, FL 34972

Mailing address

Three Maryland
Suite 250
Brentwood, TN 37027
Phone (615) 372-5024

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080808000460 FL Part B Supplier - Clinic/Group Practice 9335213388 Receives reassigned benefits from 7 practitioners
Practice locations: Belle Glade, FL; Loxahatchee, FL; Palm Beach Gardens, FL; West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

1200 S Main St
Belle Glade, FL 33430
Phone (561) 692-0100

11880 SW 40th St
Ste 116
Miami, FL 33175
Phone (305) 227-8727

1400 SE Goldtree Dr
Ste 105
Port St Lucie, FL 34952
Phone (772) 207-7534

2041 Vista Pkwy
Ste 102
West Palm Beach, FL 33411
Phone (561) 683-1331

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1356528210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THREE MARYLAND",
            "address_2": "SUITE 250",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-372-5024",
            "fax_number": "866-899-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 HIGHWAY 441 NORTH",
            "address_2": "SUITE F",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34972",
            "telephone_number": "863-763-8000",
            "fax_number": "863-763-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAULERSON GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "BRADFIELD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AUTHORIZE OFFICIAL",
        "authorized_official_telephone_number": "863-763-8000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.