Organization Active NPI

Bay Point Healthcare LLC

  • Prison Health Clinic/Center
  • Panama City Beach, FL
National Provider Identifier
1649042615
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
BAY POINT HEALTHCARE LLC
Practice address
12216 Panama City Beach Pkwy Ste D
Panama City Beach, FL 32407-2728
Phone
(850) 708-7059
NPI assigned
Oct 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Bruce Allen Woodford, DONPI 1588634653
Title
Ceo/Cmo
Phone
(850) 708-7059

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
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

12216 Panama City Beach Pkwy Ste D
Panama City Beach, FL 32407-2728

Mailing address

1016 Thomas Dr Unit 262
Panama City Beach, FL 32408-7444
Phone (850) 708-7059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240418002481 FL Part B Supplier - Clinic/Group Practice 3173962503 Receives reassigned benefits from 1 practitioner
Practice locations: Panama City Beach, FL

National Provider Directory

National Provider Directory

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": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1649042615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 THOMAS DR UNIT 262",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087444",
            "telephone_number": "850-708-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12216 PANAMA CITY BEACH PKWY STE D",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072728",
            "telephone_number": "850-708-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY POINT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "WOODFORD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO/CMO",
        "authorized_official_telephone_number": "850-708-7059",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.