Organization Active NPI

Robert D Flurry MD PA

  • Exclusive Provider Organization
  • Pensacola, FL
National Provider Identifier
1538438007
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
ME58950 Issued in FL
Legal business name
ROBERT D FLURRY MD PA
Practice address
9290 Baldridge Rd
Pensacola, FL 32514-5505
Phone
(850) 472-0123
Fax
(850) 472-0122
NPI assigned
Dec 29, 2011
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Robert D Flurry, M.D.NPI 1396745147
Title
Owner
Phone
(850) 472-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X ME58950 FL Primary

Addresses

Primary practice location

9290 Baldridge Rd
Pensacola, FL 32514-5505

Mailing address

9290 Baldridge Rd
Pensacola, FL 32514-5505
Phone (850) 472-0123

Other identifiers 1

IdentifierTypeStateIssuer
370157300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150828000887 FL Part B Supplier - Clinic/Group Practice 4486960960 Receives reassigned benefits from 2 practitioners
Practice locations: Pensacola, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1074528Robert D Flurry MD9290 Baldridge Rd, Pensacola, FL 32514Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Locations

1331 Creighton Rd
Pensacola, FL 32504
Phone (850) 434-4011

1331 Creighton Rd
Ste A
Pensacola, FL 32504
Phone (850) 474-0767

2114 Airport Blvd
Ste 1900
Pensacola, FL 32504
Phone (850) 471-7020

2401 Executive Plaza Rd
Ste A
Pensacola, FL 32504
Phone (850) 474-0767

3 W Garden St
Pensacola, FL 32502
Phone (866) 550-1425

4700 Bayou Blvd
Ste 4
Pensacola, FL 32503
Phone (850) 477-5800

4900 Bayou Blvd
Pensacola, FL 32503
Phone (850) 476-2387

9290 Baldridge Rd
Pensacola, FL 32514
Phone (850) 472-0123

Practitioners & affiliated clinicians

Practitioners 2

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": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1538438007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9290 BALDRIDGE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145505",
            "telephone_number": "850-472-0123",
            "fax_number": "850-472-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9290 BALDRIDGE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145505",
            "telephone_number": "850-472-0123",
            "fax_number": "850-472-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D FLURRY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "FLURRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-472-0123",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "ME58950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370157300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.