NPIMap

Organization Active NPI

Hodges Physical Medicine LLP

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1477702652
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9264 Issued in FL
Legal business name
HODGES PHYSICAL MEDICINE LLP
Practice address
13947 Beach Blvd
Suite 202
Jacksonville, FL 32224-1270
Phone
(904) 223-3330
Fax
(904) 223-4560
NPI assigned
Sep 12, 2008
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Dr. Richard Ray Bloom Sr., D.C.NPI 1548298250
Title
Owner/Chiropractor/Business Manager
Phone
(904) 223-3330

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8853 FL
Chiropractor 111N00000X CH0001278 FL
Chiropractor 111N00000X CH9264 FL Primary

Addresses

Primary practice location

13947 Beach Blvd
Suite 202
Jacksonville, FL 32224-1270

Mailing address

13947 Beach Blvd
Suite 202
Jacksonville, FL 32224-1270
Phone (904) 223-3330

National Provider Directory

National Provider Directory

Locations

13947 Beach Blvd
Ste 202
Jacksonville, FL 32224
Phone (904) 223-3330

Practitioners & affiliated clinicians

Practitioners 1

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": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1477702652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13947 BEACH BLVD",
            "address_2": "SUITE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241270",
            "telephone_number": "904-223-3330",
            "fax_number": "904-223-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13947 BEACH BLVD",
            "address_2": "SUITE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241270",
            "telephone_number": "904-223-3330",
            "fax_number": "904-223-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGES PHYSICAL MEDICINE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR/BUSINESS MANAGER",
        "authorized_official_telephone_number": "904-223-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8853",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0001278",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.