Individual provider Active NPI

David Deputron, D.O.

  • Internal Medicine Physician
  • Sebastian, FL
National Provider Identifier
1386608198
Registry record updated Jun 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS 3229 Issued in FL
Practice address
13836 US Highway 1
Sebastian, FL 32958-3296
Phone
(772) 581-6900
Fax
(772) 589-6995
NPI assigned
Apr 17, 2006
Last updated
Jun 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS 3229 FL Primary

Addresses

Primary practice location

13836 US Highway 1
Sebastian, FL 32958-3296

Mailing address

13838 US Highway 1
Sebastian, FL 32958-3296
Phone (772) 581-6900

Other identifiers 2

IdentifierTypeStateIssuer
80186OtherFLFLORIDA BLUE SHIELD
110228924OtherFLRAILROAD MEDICARE

Other names 1

  • David Craig Deputron Jr. Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090930000478 FL Practitioner - Internal Medicine 6002952363 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 3229FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
North County Medical LLC Internal Medicine Past Accepting new patients
Sebastian Hma Physician Management LLC Past Accepting new patients
RHG of Florida PA PastSince Sep 23, 2024 Accepting new patients
Sebastian Hma Physician Management LLC Past Accepting new patients

Locations

13838 US Highway 1
Sebastian, FL 32958
Phone (561) 589-6888

13840 US Highway 1
Sebastian, FL 32958
Phone (772) 581-0334

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339286400000",
    "number": "1386608198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13838 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583296",
            "telephone_number": "772-581-6900",
            "fax_number": "772-589-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13836 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583296",
            "telephone_number": "772-581-6900",
            "fax_number": "772-589-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPUTRON",
        "first_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS 3229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE SHIELD",
            "identifier": "80186",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110228924",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "DEPUTRON",
            "middle_name": "CRAIG",
            "suffix": "JR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.