Organization Active NPI

Richard G Sellers MD PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Gulf Breeze, FL
National Provider Identifier
1619027786
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
RICHARD G SELLERS MD PA
Practice address
41 Fairpoint Dr Ste B
Gulf Breeze, FL 32561-4380
Phone
(850) 916-9777
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Richard Graham Sellers, M.D.
Title
President
Phone
(850) 916-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X FL Primary

Addresses

Primary practice location

41 Fairpoint Dr Ste B
Gulf Breeze, FL 32561-4380

Mailing address

41 Fairpoint Dr Ste B
Gulf Breeze, FL 32561-4380
Phone (850) 916-9777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1619027786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FAIRPOINT DR STE B",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614380",
            "telephone_number": "850-916-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FAIRPOINT DR STE B",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614380",
            "telephone_number": "850-916-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G SELLERS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-916-9777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.