Individual provider Active NPI

Trudell A Doctor, M.D

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1609001106
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME103551 Issued in FL
Practice address
6080 Boynton Beach Blvd Ste 230
Boynton Beach, FL 33437-3588
Phone
(561) 807-7780
Fax
(866) 950-0144
NPI assigned
May 27, 2009
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME103551 FL Primary

Addresses

Primary practice location

6080 Boynton Beach Blvd Ste 230
Boynton Beach, FL 33437-3588

Mailing address

6080 Boynton Beach Blvd Ste 230
Boynton Beach, FL 33437-3586
Phone (561) 866-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000680 FL Practitioner - Family Practice 9032265228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1700 W Woolbright Rd
1 Cora Physical Therapy Boynton Beach
Boynton Beach, FL 33426-6346
Phone (561) 336-0112

6080 Boynton Beach Blvd
Suite 230
Boynton Beach, FL 33437-3586
Phone (561) 807-7780

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trudell Doctor MD and Associates, LLC CurrentSince Aug 1, 2022 Accepting new patients
Trudelldoctormd, LLC Family Medicine CurrentSince May 29, 2022 Accepting new patients

Locations

6080 Boynton Beach Blvd
Ste 230
Boynton Beach, FL 33437
Phone (561) 807-7780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26780/brand/1/csg/1/fhir/r4
  • Direct secure messaging: trudell.doctor.1@26780.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1609001106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 BOYNTON BEACH BLVD STE 230",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373586",
            "telephone_number": "561-866-3200",
            "fax_number": "833-471-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 BOYNTON BEACH BLVD STE 230",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373588",
            "telephone_number": "561-807-7780",
            "fax_number": "866-950-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "TRUDELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.