NPIMap

Organization Active NPI

Central Palm Beach Physicians & Urgent Care, Inc.

Doing business as Medical Center of the Palm Beaches

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1639429087
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC.
Doing business as
Medical Center of the Palm Beaches
Practice address
8100 Royal Palm Blvd
Suite 105
Coral Springs, FL 33065-5733
Phone
(954) 345-6789
Fax
(954) 345-7998
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Russ M Seger, DCNPI 1699742155
Title
Ceo / President
Phone
(561) 967-8888

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8100 Royal Palm Blvd
Suite 105
Coral Springs, FL 33065-5733

Mailing address

4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-9120
Phone (561) 966-7194

Other identifiers 1

IdentifierTypeStateIssuer
24454OtherFLFL BLUE GROUP #

Other names 1

  • Medical Center of the Palm Beaches Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Palm Beach Physicians Urgent Care Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1639429087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 FOREST HILL BLVD",
            "address_2": "SUITE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159120",
            "telephone_number": "561-966-7194",
            "fax_number": "561-966-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ROYAL PALM BLVD",
            "address_2": "SUITE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655733",
            "telephone_number": "954-345-6789",
            "fax_number": "954-345-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "SEGER",
        "authorized_official_first_name": "RUSS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "561-967-8888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE GROUP #",
            "identifier": "24454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center of the Palm Beaches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.