Bay PC Prime Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME91546 Issued in FL

Legal business name

BAY PC PRIME MEDICAL

Practice address

210 Forest Park Cir
Panama City, FL 32405-4915

Phone

(850) 872-0332

Fax

(850) 769-7717

NPI assigned

Mar 10, 2016

Last updated

Mar 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed Kassem, M.D.

Title

President

Phone

(850) 872-0332

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashli A Brooks, FNP-BC

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1417102146
  NPD (past)

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1649631235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324020922",
            "telephone_number": "850-872-0332",
            "fax_number": "850-769-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FOREST PARK CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054915",
            "telephone_number": "850-872-0332",
            "fax_number": "850-769-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PC PRIME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-872-0332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Medical Center
• Bay Medical Center (Bay Medical Center EMS)
• Bay Medical Center (Bay Behavioral Health)
• Bay Medical Neurosurgical and Spinal Institute
• Bay Pathology Associates PA
• Bay Pharmacokinetic Associates LLC
• Bay Physician Medical Billing Group (Bay Behavioral Health)
• Bay Plastic Surgery
• Bay Podiatry Center, PA
• Bay Quality Prosthetics LLC

• Internal Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.