Mariliz Borbon Bumgarner, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME91688 Issued in FL

Practice address

5150 Curry Ford Rd
Orlando, FL 32812-8744

Phone

(407) 286-3653

Fax

(407) 286-4739

NPI assigned

Jun 20, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEDIDD

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.

• Pediatrics and Family Care LLC

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1487162632
  NPD Authorized official
• Pediatrics and Family Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Orlando, FL
  • NPI 1689557068
  NPD Authorized official
• Bond Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1235641739
  NPD (past)
• Naples Urgent Care PL

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1437180114
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1558366195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CURRY FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128744",
            "telephone_number": "239-600-9389",
            "fax_number": "407-286-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CURRY FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128744",
            "telephone_number": "407-286-3653",
            "fax_number": "407-286-4739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Emmett St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347413605",
            "country_code": "US",
            "telephone_number": "407-794-9893",
            "fax_number": "407-483-5671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "167 Lookout Pl",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327514494",
            "country_code": "US",
            "telephone_number": "407-792-0310",
            "fax_number": "407-483-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMGARNER",
        "first_name": "MARILIZ",
        "middle_name": "BORBON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "91688",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME-91688",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME91688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSH",
            "identifier": "52180",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528161",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271218100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7723670",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QMP000005411144",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Bullard, CRNA
• Timothy B Bullard, MD
• Mia N Bulso
• Yajaira Bulted
• Courtneigh Bumgardner
• Lauren Bump
• Veronica Bunbury, CASE MANAGEMENT
• Kristin Renee Bunch
• Bunches of Joy Birth LLC
• Jodi Bunda

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.