Individual provider Active NPI

Jerry Alvin Spiegel, M.D.

  • Obstetrics & Gynecology Physician
  • Boynton Beach, FL
National Provider Identifier
1396777660
Registry record updated Apr 29, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective May 20, 2012.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME68274 Issued in FL
Practice address
12705 Via Lucia
Boynton Beach, FL 33436-5827
Phone
(561) 499-7979
Fax
(561) 499-7979
NPI assigned
Jul 7, 2006
Last updated
Apr 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME68274 FL Primary

Addresses

Primary practice location

12705 Via Lucia
Boynton Beach, FL 33436-5827

Mailing address

12705 Via Lucia
Boynton Beach, FL 33436-5827
Phone (561) 499-7979

Other identifiers 1

IdentifierTypeStateIssuer
252770700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
First Medical Center, Inc, Past Accepting new patients
University Medical Group, Inc. Past Accepting new patients
All Med Rehab Services Inc Past Accepting new patients
Solution Diagnostic Center Inc Past Accepting new patients
All Med Rehab Services Inc Past Accepting new patients

Organizations & group practices 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1396777660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12705 VIA LUCIA",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334365827",
            "telephone_number": "561-499-7979",
            "fax_number": "561-499-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12705 VIA LUCIA",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334365827",
            "telephone_number": "561-499-7979",
            "fax_number": "561-499-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIEGEL",
        "first_name": "JERRY",
        "middle_name": "ALVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME68274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252770700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.