Organization Active NPI

Breezemed Urgent Care LLC

  • Urgent Care Clinic/Center
  • Naples, FL
National Provider Identifier
1649937715
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BREEZEMED URGENT CARE LLC
Practice address
15044 Sandpiper LN Unit 8
Naples, FL 34114-8585
Phone
(239) 529-2142
Fax
(239) 230-2977
NPI assigned
Nov 23, 2021
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Jarrod Stewart Roberts, MDNPI 1659466100
Title
Owner/ Medical Director
Phone
(239) 529-2142

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

15044 Sandpiper LN Unit 8
Naples, FL 34114-8585

Mailing address

15044 Sandpiper LN Unit 8
Naples, FL 34114-8585
Phone (239) 529-2142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220928003751 FL Part B Supplier - Clinic/Group Practice 9335520790 Receives reassigned benefits from 10 practitioners
Practice locations: Marco Island, FL; Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2264279Breezemed Urgent Care LLC15044 Sandpiper LN, Naples, FL 34114RegistrationJul 31, 2027

National Provider Directory

National Provider Directory

Locations

979 N Collier Blvd
Marco Island, FL 34145
Phone (239) 376-3260

15044 Sandpiper Ln
Unit 8
Naples, FL 34114
Phone (239) 529-2142

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1649937715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15044 SANDPIPER LN UNIT 8",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148585",
            "telephone_number": "239-529-2142",
            "fax_number": "239-230-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15044 SANDPIPER LN UNIT 8",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148585",
            "telephone_number": "239-529-2142",
            "fax_number": "239-230-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZEMED URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2023-02-01",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JARROD",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-529-2142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.