Individual provider Active NPI

Jerome Bobruff, MD

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1568774909
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ACN348 Issued in FL
Practice address
2171 Pine Ridge Rd Ste F
Naples, FL 34109-2002
Phone
(239) 566-6425
Fax
(239) 593-3430
NPI assigned
Jul 13, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ACN348 FL Primary

Addresses

Primary practice location

2171 Pine Ridge Rd Ste F
Naples, FL 34109-2002

Mailing address

2171 Pine Ridge Rd Ste F
Naples, FL 34109-2002
Phone (239) 566-6425

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Friendship Centers, Inc Past Accepting new patients
Naples Orthopedics, Inc. PastSince Oct 23, 2017 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16888/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHECBD

Organizations & group practices 2

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1568774909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 PINE RIDGE RD STE F",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092002",
            "telephone_number": "239-566-6425",
            "fax_number": "239-593-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 PINE RIDGE RD STE F",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092002",
            "telephone_number": "239-566-6425",
            "fax_number": "239-593-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBRUFF",
        "first_name": "JEROME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ACN348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.