Active NPI
Wylene N Bhanji, DO
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS9034
- Practice address
- 12058 San Jose Blvd Ste 1004
Caring Physical Rehabilitation
Jacksonville, FL 32223-8667 - Phone
- (904) 288-8060
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS9034 | FL | Primary |
Addresses
Primary practice location
12058 San Jose Blvd Ste 1004
Caring Physical Rehabilitation
Jacksonville, FL 32223-8667
Mailing address
12058 San Jose Blvd Ste 1004
Caring Physical Rehabilitation
Jacksonville, FL 32223-8667
Phone (904) 288-8060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37641 | Other | FL | BCBS FL |
| 268885900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040419001826 | FL | Practitioner - Emergency Medicine | 7214922038 | Reassigns benefits to 3 organizations |
| I20180712001718 | GA | Practitioner - Emergency Medicine | 7214922038 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Specialists of Jacksonville | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Physicians Medical Centers-Jax Inc | Past | Accepting new patients | |
| Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
| Belfort Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Physicians Medical Center, Inc. | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
368 NE Franklin St
Lake City, FL 32055
Phone (386) 292-8000
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
922 E Call St
Starke, FL 32091
Phone (904) 368-2300
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Emergency Medicine Physician
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- Emergency Medicine Physician
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- Emergency Medicine Physician
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- NPI 1386693273
Emergency Medicine
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- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1063454858
-
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- Orange Park, FL
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249430400000",
"number": "1518924166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12058 SAN JOSE BLVD STE 1004",
"address_2": "CARING PHYSICAL REHABILITATION",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238667",
"telephone_number": "904-288-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12058 SAN JOSE BLVD STE 1004",
"address_2": "CARING PHYSICAL REHABILITATION",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238667",
"telephone_number": "904-288-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHANJI",
"first_name": "WYLENE",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2009-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS9034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "37641",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268885900",
"state": "FL"
}
],
"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 Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.